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

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

Presence Home Care (NPI 1881645125)

Field	Value
Entity Type	Organization
Organization	Presence Home Care
Address	50 Uno Cir, Ste East
City	Joliet
State	IL
ZIP	60435
Taxonomy	Home Health Agency
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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	15,610	$200	$3.1M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	6,930	$270	$1.9M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	770	$230	$180.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Presence Home Care — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	14	110	3,040	$160	$1M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	19	80	2,730	$180	$868.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	25	50	860	$170	$362.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presence Home Care	IL	Home Health Agency	$0	$7.3M

Nearby Providers

Other providers in the same ZIP code as Presence Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornerstone Services Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23.2M
Rts Services Unlimited, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M
Pinnacle Dermatology, Sc	IL	Dermatology Physician	$0	$7.2M
Trinity Services Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7M
Presence Central And Suburban Hospitals Network	IL	General Acute Care Hospital	$0	$4.8M
James Urban	IL	Anatomic Pathology & Clinical Pathology Physician	$204.1K	$4.5M
Basingers Pharmacy Inc	IL	Community/Retail Pharmacy	$22.9K	$4M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$4M
Aunt Martha's Health And Wellness, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$3.1M
Nabil Jaber	IL	Pediatrics Physician	$0	$3.1M

Presence Home Care — Billing Profile & Reimbursement Data

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Presence Home Care — 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