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

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

Pw Health Services, LLC (NPI 1831407675)

Field	Value
Entity Type	Organization
Organization	Pw Health Services, LLC
Address	615a Gale St
City	Laredo
State	TX
ZIP	78041
Taxonomy	Home Health Agency
NPI Enumerated	September 14, 2010

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	31,840	$370	$11.7M
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…	90,970	$70	$6.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	57,080	$70	$4.1M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	11,720	$300	$3.5M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	22,590	$90	$1.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	7,890	$90	$670.3K
S9152	Speech therapy, re-evaluation	2,490	$110	$261.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	750	$140	$101.7K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	1,100	$80	$83.5K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	1,070	$70	$76.2K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Pw Health Services, LLC — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	64	140	29,740	$490	$24.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	10	60	2,200	$330	$2.5M
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…	25	1,350	1,860	$80	$872.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,575	1,620	1,070	$70	$333.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	10	1,320	1,070	$60	$211.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	816	1,350	320	$30	$101.2K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	3	310	1,230	$30	$91.7K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	10	350	520	$50	$75.6K
S9152	Speech therapy, re-evaluation	18	270	120	$110	$62.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	60	360	100	$140	$62K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Pw Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Estrella Provider Services, LLC	TX	Developmentally Disabled Services Day Training Agency	$0	$58.2M
Pyra Med Health Services, LLC	TX	Home Health Agency	$0	$48.4M
South Texas Primary Care, Inc.	TX	Home Health Agency	$0	$34.7M
M & R Management LLC	TX	Home Health Agency	$0	$25.4M
Mercy Rehab Services Inc	TX	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$19.5M
Laredo Texas Hospital Company LP	TX	General Acute Care Hospital	$0	$19.5M
Gateway Community Health Center, Inc.	TX	Federally Qualified Health Center (FQHC)	$0	$12.6M
Sands Care Health Services, L.c.	TX	Home Health Agency	$0	$12.2M
John Britton	TX	Oral and Maxillofacial Pathology Dentistry	$26.1K	$2.3M
Ricardo Cigarroa	TX	Cardiovascular Disease Physician	$1.8M	$0

Pw Health Services, LLC — Billing Profile & Reimbursement Data

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Pw Health Services, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References