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

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

Medstar Health Visiting Nurse Association, Inc. (NPI 1790899524)

Field	Value
Entity Type	Organization
Organization	Medstar Health Visiting Nurse Association, Inc.
Address	5235 King Ave Fl 4
City	Baltimore
State	MD
ZIP	21237
Taxonomy	Home Health Agency
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicaid	$26.2M
Medicare	$0

Key Findings

MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. is effectively a Medicaid-focused home health agency: it has no Medicare billing on file and reports $26.2M in total Medicaid revenue, indicating Medicaid is the primary payer driving this organization’s revenue base. The provider’s NPI was enumerated 2006-08-18 (~20 years ago), so this is an established entity with roughly two decades of billing history in the market.

Revenue concentration is high: the precomputed top three Medicaid codes (G0299, G0151, G0152) together account for 91.1% of the provider’s total Medicaid revenue. Individually those codes are major revenue drivers — G0299 accounts for $10.1M (38.6%), G0151 for $9.6M (36.6%), and G0152 for $4.2M (15.9%) — signaling tight dependence on a small set of service lines.

The code mix points to a clinically focused home-health operation that emphasizes skilled nursing and therapy in the home setting. G0299 (14.1K claims, $717 avg paid/claim, $10.1M revenue) and G0300 (3.3K claims, $715 avg paid/claim, $2.3M revenue) indicate direct nursing (RN and LPN) care is a central offering, while G0151 (10.8K claims, $893 avg paid/claim, $9.6M revenue) and G0152 (3.4K claims, $1226 avg paid/claim, $4.2M revenue) show substantial investment in physical and occupational therapy services.

G0151 (qualified physical therapist) is a clear competitive strength for the provider statewide: it ranks #2 of 17 providers in-state and sits in the 94th percentile, a ranking labeled as "notably above typical state volume". That high rank combined with $9.6M in revenue and 10.8K claims suggests the provider is a leading Medicaid PT home-health supplier in Maryland relative to peers.

G0299 (direct RN skilled nursing) and G0152 (occupational therapy) present a mixed competitive picture. G0299 ranks #3 of 27 providers and is in the 92th percentile but is described as "typical, unremarkable volume," indicating the provider has strong absolute volume yet operates among several peers with similar RN home-health activity; G0152 ranks #2 of 7 and is in the 83th percentile and likewise labeled "typical, unremarkable volume," showing competence in OT without suggesting statewide dominance.

Because three codes (G0299, G0151, G0152) make up 91.1% of Medicaid revenue, the provider’s financial performance is concentrated and therefore sensitive to utilization or reimbursement changes in those specific skilled-nursing and therapy services. Operational shifts in staffing (RN/LPN/therapists), visit mix, or state policy affecting home-health PT/OT reimbursement could disproportionately affect overall revenue.

Although the provider shows limited breadth across payers (no Medicare billing on file), its $26.2M Medicaid footprint and high state rankings for key CPT/HCPCS suggest it is a meaningful Medicaid home-health competitor in Maryland, especially on physical therapy and skilled nursing service lines. The presence of both high-claim-volume codes (14.1K for G0299, 10.8K for G0151) and high average paid/claim values (e.g., $1226 for G0152) underscores a mix of high-frequency and relatively high-priced visit types that define its market position.

Operationally, the presence of both RN-led skilled nursing (G0299) and therapy-dominant revenue (G0151, G0152) implies the agency provides coordinated skilled-clinical and rehabilitative services in-home rather than focusing on a single narrow intervention. This blended service model aligns with the code mix and helps explain why a small set of home-health codes capture the vast majority of the provider’s Medicaid revenue.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	14,120	$720	$10.1M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	10,750	$890	$9.6M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	3,390	$1,230	$4.2M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	3,250	$720	$2.3M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Medstar Health Visiting Nurse Association, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	2	10	1,660	$840	$1.5M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	2	20	670	$500	$1.4M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	3	30	2,110	$280	$1.3M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	2	10	280	$1,050	$1.3M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Medstar Health Visiting Nurse Association, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstar Health Visiting Nurse Association, Inc.	MD	Home Health Agency	$0	$21.6M
Medstar Health Visiting Nurse Association, Inc.	DC	Home Health Agency	$0	$644.5K

Nearby Providers

Other providers in the same ZIP code as Medstar Health Visiting Nurse Association, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Treatment Services LLC	MD	Methadone Clinic	$1M	$56.3M
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$51.8M
Medstar Franklin Square Physicians LLC	MD	General Practice Physician	$0	$15.8M
Amedisys Hospice, LLC	MD	Community Based Hospice Care Agency	$0	$15.6M
Mosaic Community Services, Inc.	MD	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$13.9M
Advance Adult Day Care L.L.C.	MD	Adult Day Care Clinic/Center	$0	$7.9M
Franklin Square Hospital Center, Inc	MD	General Acute Care Hospital	$0	$7.2M
Medstar Medical Group Ii	MD	Psychiatry Physician	$0	$6.4M
Edwin F. Aguilar, M.d., P.C.	MD	Pediatrics Physician	$0	$5.6M
Procare Ambulance Of Maryland Inc	MD	Land Ambulance	$3.8M	$1.4M

Medstar Health Visiting Nurse Association, Inc. — Billing Profile & Reimbursement Data

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Medstar Health Visiting Nurse Association, Inc. — Billing Profile & Reimbursement Data

Sign up for Medstar Health Visiting Nurse Association, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References