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.

1st Americare LLC (NPI 1932720943)

Field	Value
Entity Type	Organization
Organization	1st Americare LLC
Address	22375 Broderick Dr Ste 115
City	Sterling
State	VA
ZIP	20166
Taxonomy	Home Health Agency
NPI Enumerated	April 30, 2020

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	37,310	$160	$5.8M
T1003	Lpn/lvn services, up to 15 minutes	1,420	$2,180	$3.1M
H2014	Skills training and development, per 15 minutes	6,040	$380	$2.3M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	3,430	$380	$1.3M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	5,850	$160	$930.8K
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)	400	$560	$225.5K

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

1st Americare LLC — 0 of 6 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

6 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	22	40	6,460	$450	$11.1M
H2014	Skills training and development, per 15 minutes	18	70	2,500	$1,380	$7M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	235	760	17,620	$150	$5.5M
T1003	Lpn/lvn services, up to 15 minutes	18	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)	22	30	1,000	$500	$2.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	3	10	5,830	$150	$1.1M

Nearby Providers

Other providers in the same ZIP code as 1st Americare LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Osman	VA	Retina Specialist (Ophthalmology) Physician	$3.2M	$0
Joanna Barnett	VA	Optometrist	$40.1K	$2.4M
Mohammed Barazi	VA	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Ayman Boutros	VA	Ophthalmology Physician	$964.5K	$0
Laeeq Butt	VA	Internal Medicine Physician	$942.5K	$0
Randall Peyton	VA	Orthopaedic Surgery Physician	$670.5K	$0
Darrell Reisner	VA	Ophthalmology Physician	$367.9K	$0
Lisa Johnson	VA	Specialist	$336.5K	$0
Maude Bertovich	VA	Physical Therapist	$268.9K	$0
Antonio Pastor	VA	Infectious Disease Physician	$212.5K	$0

1st Americare LLC — Billing Profile & Reimbursement Data

Sign up for 1st Americare LLC — Billing Profile & Reimbursement Data policy alerts

1st Americare LLC — Billing Profile & Reimbursement Data

Sign up for 1st Americare LLC — 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