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.

Nightingale Home Healthcare Of Massachusetts, Inc. (NPI 1881923936)

Field	Value
Entity Type	Organization
Organization	Nightingale Home Healthcare Of Massachusetts, Inc.
Address	125 County St
City	Taunton
State	MA
ZIP	02780
Taxonomy	Home Health Agency
NPI Enumerated	December 21, 2009

Payer Source	Total Paid
Medicaid	$14.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 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)	370,030	$20	$8.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	89,040	$30	$2.5M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	30,640	$60	$1.7M
S9131	Physical therapy; in the home, per diem	43,830	$20	$964.3K
S9129	Occupational therapy, in the home, per diem	29,380	$20	$617K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	12,750	$20	$216.7K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	14,630	$10	$190.2K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	9,140	$20	$155.4K
S9128	Speech therapy, in the home, per diem	100	$30	$2.5K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	60	$1	$110

Showing 1–10 of 11

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

Nightingale Home Healthcare Of Massachusetts, Inc. — 3 of 10 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

11 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	65	130	34,780	$60	$7.4M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	25	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	47	170	3,500	$40	$757.2K
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)	1	50	7,160	$20	$397.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	17	90	2,250	$40	$315K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	5	50	1,510	$40	$179.2K
S9131	Physical therapy; in the home, per diem	1	30	3,360	$20	$123.9K
S9129	Occupational therapy, in the home, per diem	1	20	1,110	$20	$70.8K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	13	20	290	$20	$15.5K
Q5001	Hospice or home health care provided in patient's home/residence	71	80	720	$1	$4.1K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$326.7M
Northeast Health Services, LLC	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$121.1M
Community Counseling Of Bristol County, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$77.9M
Morton Hospital, A Steward Family Hospital, Inc.	MA	General Acute Care Hospital	$0	$41.7M
Associates For Human Services, Inc.	MA	Adult Day Care Clinic/Center	$0	$20M
Preparatory Rehabilitation For Individual Development & Employment, In	MA	Adult Care Home Facility	$0	$16.9M
Northeast Dental Anesthesia Associates, PLLC	MA	Dental Clinic/Center	$0	$9.5M
Community Counseling Of Bristol County, Inc.	MA	Community/Behavioral Health Agency	$0	$9.1M
Atg Massachusetts Inc	MA	Customized Equipment (DME)	$0	$8.8M
Department Of Mental Health	MA	Substance Abuse Rehabilitation Facility	$0	$7.3M

Nightingale Home Healthcare Of Massachusetts, Inc. — Billing Profile & Reimbursement Data

Sign up for Nightingale Home Healthcare Of Massachusetts, Inc. — Billing Profile & Reimbursement Data policy alerts

Nightingale Home Healthcare Of Massachusetts, Inc. — Billing Profile & Reimbursement Data

Sign up for Nightingale Home Healthcare Of Massachusetts, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References