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.

Caresense Health LLC (NPI 1952696353)

Field	Value
Entity Type	Organization
Organization	Caresense Health LLC
Address	589 Bethlehem Pike Ste 1000
City	Montgomeryville
State	PA
ZIP	18936
Taxonomy	Home Health Agency
NPI Enumerated	June 14, 2011

Payer Source	Total Paid
Medicaid	$37.2M
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
W1793	N/A	74,270	$190	$14M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	54,020	$210	$11.5M
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…	33,060	$210	$7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	19,070	$170	$3.2M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	3,490	$410	$1.4M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	40	$50	$2.1K

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

Caresense Health LLC — 0 of 6 codes 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

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	77	90	12,800	$580	$9.1M
W1793	N/A	32	370	10,930	$170	$5.8M
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…	12	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	6	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	12	80	5,780	$220	$2.2M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	121	130	1,190	$100	$528.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Seating And Mobility LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$6.6M
Mohammed Islam	PA	Internal Medicine Physician	$254K	$20.3K
Ernest Sully	PA	Emergency Medicine Physician	$82.1K	$0

Caresense Health LLC — Billing Profile & Reimbursement Data

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Caresense Health LLC — 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