Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Tlc In Action LLC (NPI 1780094474)

Field	Value
Entity Type	Organization
Organization	Tlc In Action LLC
Address	9066 Galvin Ln
City	Lorton
State	VA
ZIP	22079
Taxonomy	Home Health Agency
NPI Enumerated	May 2, 2014

Payer Source	Total Paid
Medicaid	$18.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	89,540	$170	$15.5M
T1005	Respite care services, up to 15 minutes	18,460	$140	$2.7M
G2021	Health care practitioners rendering treatment in place (tip)	110	$500	$55.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Tlc In Action LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	77	760	17,620	$150	$5.5M
T1005	Respite care services, up to 15 minutes	99	570	4,400	$80	$831.8K
G2021	Health care practitioners rendering treatment in place (tip)	41	290	40	$790	$56.7K

Nearby Providers

Other providers in the same ZIP code as Tlc In Action LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Home Care, LLC	VA	In Home Supportive Care Agency	$0	$26.4M
Ultimate Care LLC	VA	Multi-Specialty Clinic/Center	$0	$7.8M
Healingland Healthcare Services LLC	VA	Home Health Agency	$0	$6.8M
Andrew Falco	VA	Foot & Ankle Surgery Podiatrist	$290.9K	$0
Shyaun Rafii	VA	Foot & Ankle Surgery Podiatrist	$212.1K	$0
Emily Cleveland	VA	Physical Therapist	$109.3K	$0
George Gillian	VA	Surgery Physician	$102.6K	$0
Frank Ciampi	VA	Family Medicine Physician	$51.2K	$0
Shannon O'connor	VA	Occupational Therapist	$6.7K	$0

Tlc In Action LLC — Billing Profile & Reimbursement Data

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Tlc In Action LLC — Billing Profile & Reimbursement Data

Sign up for Tlc In Action LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References