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

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

Pinnacle Home Healthcare Services, Inc (NPI 1851719462)

Field	Value
Entity Type	Organization
Organization	Pinnacle Home Healthcare Services, Inc
Address	324 Grove St
City	Worcester
State	MA
ZIP	01605
Taxonomy	Home Health Agency
NPI Enumerated	April 1, 2014

Payer Source	Total Paid
Medicaid	$13.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	92,530	$60	$5.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	76,130	$40	$3M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	56,370	$40	$2.2M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	46,970	$50	$2.2M
S5131	Homemaker service, nos; per diem	3,940	$40	$145.7K
S5130	Homemaker service, nos; per 15 minutes	2,950	$40	$106.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Pinnacle Home Healthcare Services, Inc — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	41	130	34,780	$60	$7.4M
S5130	Homemaker service, nos; per 15 minutes	99	160	7,330	$90	$3.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	38	190	14,240	$110	$3.7M
S5131	Homemaker service, nos; per diem	34	70	2,770	$120	$1.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	35	310	8,710	$40	$1.6M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	18	170	3,500	$40	$757.2K

Nearby Providers

Other providers in the same ZIP code as Pinnacle Home Healthcare Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Systems, Inc	MA	Addiction (Substance Use Disorder) Counselor	$6M	$187.4M
Edward M. Kennedy Community Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$55.2M
Prestige Adult Foster Care LLC.	MA	In Home Supportive Care Agency	$0	$54.1M
Autism Therapuetic Services LLC	MA	Early Intervention Provider Agency	$0	$23M
Catholic Charities Of The Diocese Of Worcester	MA	Developmentally Disabled Services Day Training Agency	$0	$17.2M
City Home Care, LLC	MA	Home Health Agency	$0	$15.9M
Autism Intervention Specialists	MA	Behavior Analyst	$0	$13.4M
Adcare Hospital Of Worcester, Inc.	MA	General Acute Care Hospital	$0	$13.2M
The Bridge Of Central Massachusetts, Inc.	MA	Community/Behavioral Health Agency	$0	$5.5M
Notre Dame Health Care Center, Inc.	MA	Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician	$0	$5.4M

Pinnacle Home Healthcare Services, Inc — Billing Profile & Reimbursement Data

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Pinnacle Home Healthcare Services, 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

Nearby Providers

Frequently Asked Questions

References