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

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

Pathwell Ct, Inc. (NPI 1871569707)

Field	Value
Entity Type	Organization
Organization	Pathwell Ct, Inc.
Address	99 Hawley Ln Ste 1001
City	Stratford
State	CT
ZIP	06614
Taxonomy	Home Health Agency
NPI Enumerated	February 28, 2006

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	11,920	$50	$643.4K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	12,970	$40	$479.9K
T1004	Services of a qualified nursing aide, up to 15 minutes	9,180	$30	$284.5K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	4,420	$30	$128.1K
T1001	Nursing assessment / evaluation	1,010	$40	$37.3K
1247Z	N/A	80	$50	$4.2K
1214Z	N/A	180	$20	$4K
S9131	Physical therapy; in the home, per diem	1,220	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Pathwell Ct, Inc. — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	20	70	5,660	$150	$3.6M
T1004	Services of a qualified nursing aide, up to 15 minutes	47	60	26,810	$40	$2.8M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	46	80	14,190	$80	$2.7M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	30	60	4,250	$50	$511.6K
1214Z	N/A	19	20	1,030	$30	$173.2K
T1001	Nursing assessment / evaluation	29	60	1,000	$60	$140.5K
1247Z	N/A	4	10	220	$50	$51.6K
S9131	Physical therapy; in the home, per diem	1	10	970	$0	$0

Nearby Providers

Other providers in the same ZIP code as Pathwell Ct, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Care Visiting Nurse & Home Health Care Agency, LLC	CT	Home Health Agency	$0	$119M
Centerwell Certified Healthcare Corp.	CT	Home Health Agency	$0	$48M
David Chess	CT	Internal Medicine Physician	$41.7M	$150.5K
Equinox Home Care, LLC	CT	Home Health Agency	$0	$20.5M
Dr. Dental Of Connecticut, PC	CT	General Practice Dentistry	$0	$13.1M
Premier Oral Surgery And Implantology Center LLC	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$6.7M
Sunset Shores Of Milford, Inc.	CT	Adult Day Care Clinic/Center	$0	$4.6M
Mdcarenow LLC	CT	Internal Medicine Physician	$0	$4.5M
Southern Connecticut Vascular Center, LLC	CT	Vascular Surgery Physician	$0	$4.3M
Holistic Psychiatric Services LLC	CT	Psychiatric/Mental Health Nurse Practitioner	$0	$2.3M

Pathwell Ct, Inc. — Billing Profile & Reimbursement Data

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Pathwell Ct, 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