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 Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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.

Horizon Home Care & Hospice, Inc. (NPI 1780687327)

Field	Value
Entity Type	Organization
Organization	Horizon Home Care & Hospice, Inc.
Address	11002 W Park Pl
City	Milwaukee
State	WI
ZIP	53224
Taxonomy	Home Health Agency
NPI Enumerated	May 27, 2005

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	11,040	$640	$7.1M
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	50,770	$70	$3.6M
T2042	Hospice routine home care; per diem	21,130	$120	$2.5M
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…	29,220	$30	$964.3K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	13,460	$70	$915.5K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	7,560	$70	$521.4K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	2,610	$40	$104.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	210	$80	$16.9K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	2,180	$1	$2.2K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	30	$40	$1.2K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Horizon Home Care & Hospice, Inc. — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2046	Hospice long term care, room and board only; per diem	11	50	2,350	$310	$3.9M
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…	17	50	6,290	$50	$2.5M
T2042	Hospice routine home care; per diem	1	10	10,620	$190	$1.7M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	3	10	2,610	$110	$1.6M
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	2	30	2,580	$90	$784K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	2	20	1,950	$80	$503.2K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	30	30	1,050	$100	$359.1K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	2	10	740	$80	$311.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	439	500	3,140	$20	$148.9K
S5170	Home delivered meals, including preparation; per meal	12	20	120	$110	$32.3K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Horizon Home Care & Hospice, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clovis Homecare, Inc.	NM	Home Health Agency	$0	$84M
Vgm Group, Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$54.4M
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Lakeview Medical Center Inc Of Rice Lake	WI	Rural Acute Care Hospital	$0	$10M
Lakeview Medical Center Inc Of Rice Lake	WI	Clinic/Center	$0	$1.6M
Ministry Home Care, LLC.	WI	Community Based Hospice Care Agency	$0	$1.5M
Horizon Healthcare, Inc	WI	Multi-Specialty Clinic/Center	$0	$1.5M

Nearby Providers

Other providers in the same ZIP code as Horizon Home Care & Hospice, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paratech Ambulance Service, Inc.	WI	Ambulance	$0	$6M
Vitas Healthcare Corporation Midwest	WI	Community Based Hospice Care Agency	$0	$5.1M
Jmj Consulting, LLC	WI	Case Management Agency	$0	$4.5M
Abg Wellness Group Inc	WI	Community/Behavioral Health Agency	$0	$1.6M
Amanda Zheng	WI	Physician Assistant	$20.1K	$0

Horizon Home Care & Hospice, Inc. — Billing Profile & Reimbursement Data

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Horizon Home Care & Hospice, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References