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

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

Act Home Health, Inc. (NPI 1952394074)

Field	Value
Entity Type	Organization
Organization	Act Home Health, Inc.
Address	12431 Lewis St Ste 101
City	Garden Grove
State	CA
ZIP	92840
Taxonomy	Home Health Agency
NPI Enumerated	August 24, 2005

Payer Source	Total Paid
Medicaid	$28.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	28,910	$470	$13.6M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	29,810	$330	$9.7M
Z5834	N/A	10,730	$470	$5M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	2,030	$60	$121.8K
T1016	Case management, each 15 minutes	410	$90	$37.3K
Z5836	N/A	250	$130	$31.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Act Home Health, Inc. — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California 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	2	70	7,520	$450	$4M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	23	420	1,180	$280	$1.9M
Z5834	N/A	3	40	1,960	$450	$1.4M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	21	170	370	$60	$45K
Z5836	N/A	6	30	110	$100	$19.9K
T1016	Case management, each 15 minutes	22	70	170	$10	$19.2K

Nearby Providers

Other providers in the same ZIP code as Act Home Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health Works LLC	CA	Behavior Analyst	$0	$42.7M
Altamed Health Services Corp	CA	Community Health Clinic/Center	$0	$30.7M
Massoud Arbabzadeh	CA	Vascular & Interventional Radiology Physician	$1.3M	$0
Eddie Pyune	CA	Family Medicine Physician	$587.1K	$1.3K
Ocvac - Asc LLC	CA	Ambulatory Surgical Clinic/Center	$275.6K	$246.5K
Garden Grove Surgical Center Inc	CA	Ambulatory Surgical Clinic/Center	$351.4K	$8.7K

Act Home Health, Inc. — Billing Profile & Reimbursement Data

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Act Home Health, 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