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

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

365 Health Services LLC (NPI 1932504982)

Field	Value
Entity Type	Organization
Organization	365 Health Services LLC
Address	325 Chestnut St Ste 1005
City	Philadelphia
State	PA
ZIP	19106
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	October 31, 2014

Payer Source	Total Paid
Medicaid	$46.2M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only operator: there is no Medicare billing on file and reported lifetime Medicaid revenue is $46.2M, indicating the provider’s scale of operations is driven entirely by Medicaid reimbursement. Analysts should treat payer exposure as concentrated to a single public program rather than a mixed Medicare/Medicaid portfolio.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and a single code, W1793, is listed with $46.2M revenue (100.0% of total Medicaid revenue). This means all reported Medicaid dollars flow through one billing line, making it the sole revenue driver in the available data.

Operational profile implied by taxonomy and claims mix: the provider’s taxonomy is In Home Supportive Care Agency and billing is dominated by W1793 (no description available), which, coupled with 247.1K claims and an average paid amount of $187 per claim, is consistent with a high-volume, recurring in-home supportive service model rather than episodic acute-care procedures. The claim volume and average per-claim payment suggest many discrete, repeat units of service delivered to beneficiaries.

Competitive standing within the state is strong for the reported code: W1793 ranks #8 of 369 providers in-state and is in the 98th percentile, described as notably above typical state volume for this code. This ranking positions the provider as a major in-state participant for W1793, implying market presence and operational capacity relative to peers filing the same code.

Programmatic and financial risk is concentrated: reliance on a single code (W1793) that represents 100.0% of Medicaid revenue creates sensitivity to reimbursement rate changes, policy edits, or claim audits specific to that code. Any modification in coverage or payment for W1793 would likely have an outsized impact on the provider’s revenue given the lack of diversification in billed services.

Utilization dynamics are explicit in the claim-level metrics: 247.1K claims at an average paid per claim of $187 indicate substantial service volume with moderate per-claim reimbursement, pointing toward intensive utilization patterns (frequent, repeat service units). For payer contracting or utilization review, this pattern merits review for expected episode lengths, authorization cadence, and documentation practices tied to recurring in-home services.

Provider tenure supports operational establishment: the NPI was enumerated on 2014-10-31 (~12 years ago), indicating the organization has been active for over a decade in the Medicare/Medicaid administrative ecosystem. This longevity, together with the concentrated $46.2M Medicaid revenue, suggests an established billing and service delivery process for the reported code.

From a market positioning perspective, the provider appears highly specialized: it is a top in-state filer for a single Medicaid code rather than a broadly diversified service provider. For competitive analysis, this profile signals strength in a niche service line but potential limitations in cross-service market reach within the state.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W1793	N/A	247,100	$190	$46.2M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

365 Health Services LLC — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W1793	N/A	8	370	10,930	$170	$5.8M

Related Providers

Other providers that share a Tax Identification Number (TIN) with 365 Health Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
365 Health Services LLC	PA	Home Health Agency	$0	$26.7M

Nearby Providers

Other providers in the same ZIP code as 365 Health Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thrive Therapy LLC	PA	Community/Behavioral Health Agency	$0	$37.4M
Hall-mercer Cmh-mrc Of Pennsylvania Hosp	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.1M
True Direct Home Health Care LLC	PA	Home Health Agency	$0	$6.6M
Advanced Nursing Care Inc	PA	Home Health Agency	$0	$5.8M
The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys	PA	Endoscopy Clinic/Center	$419.9K	$69.5K
Kristin Didomenico	PA	Ophthalmology Physician	$418.3K	$0
Rachel Niknam	PA	Ophthalmology Physician	$361.5K	$0
Stephen Goldman	PA	Ophthalmology Physician	$346.6K	$0
Jeffrey Luebbert	PA	Clinical Cardiac Electrophysiology Physician	$273.8K	$0
Arthur Bartolozzi	PA	Sports Medicine (Orthopaedic Surgery) Physician	$210.9K	$0

365 Health Services LLC — Billing Profile & Reimbursement Data

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365 Health Services LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References