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

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

The Pediatric Connection, Inc (NPI 1932224573)

Field	Value
Entity Type	Organization
Organization	The Pediatric Connection, Inc
Address	100 Gateway Centre Parkway, Suite 108
City	North Chesterfield
State	VA
ZIP	23235
Taxonomy	Nursing Care Agency
NPI Enumerated	March 20, 2007

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	21,270	$290	$6.2M
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)	13,640	$240	$3.3M
T1003	Lpn/lvn services, up to 15 minutes	5,110	$260	$1.3M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	10,560	$90	$908.4K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	30	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

The Pediatric Connection, Inc — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

5 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	14	40	6,460	$450	$11.1M
T1003	Lpn/lvn services, up to 15 minutes	8	30	1,640	$720	$4.8M
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)	6	30	1,000	$500	$2.6M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	189	200	1,330	$70	$236.3K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	22	220	1,700	$40	$189.3K

Nearby Providers

Other providers in the same ZIP code as The Pediatric Connection, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lighthouse Behavioral Health Center, LLC	VA	Community/Behavioral Health Agency	$0	$16.5M
Radiology Associates Of Richmond Inc	VA	Diagnostic Radiology Physician	$0	$14.2M
Hobby Home Care, LLC	VA	Home Health Agency	$0	$12M
Caremed, Inc	VA	Home Health Agency	$0	$10.7M
Care Advantage, Inc	VA	Home Health Agency	$0	$10.7M
Family Guidance Of Virginia	VA	Community/Behavioral Health Agency	$0	$9.6M
Daily Grace, LLC	VA	Community/Behavioral Health Agency	$0	$9.1M
Trinity Care LLC	VA	Community/Behavioral Health Agency	$0	$7.8M
Stony Point Surgery Center, L.L.C	VA	Ambulatory Surgical Clinic/Center	$4.9M	$1.4M
Community Faith Inc	VA	Community/Behavioral Health Agency	$0	$5.8M

The Pediatric Connection, Inc — Billing Profile & Reimbursement Data

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The Pediatric Connection, 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