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

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

Northeast Professional Home, Inc. (NPI 1972594802)

Field	Value
Entity Type	Organization
Organization	Northeast Professional Home, Inc.
Address	4580 Stephen Cir Nw Ste 302
City	Canton
State	OH
ZIP	44718
Taxonomy	Home Health Agency
NPI Enumerated	October 31, 2005

Payer Source	Total Paid
Medicaid	$25.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 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…	405,960	$60	$25.2M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Northeast Professional Home, Inc. — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	9	830	20,350	$70	$3.1M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northeast Professional Home, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Professional Home Care, Inc.	OH	Home Health Agency	$0	$18.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Child And Adolescent Behavioral Health	OH	Community/Behavioral Health Agency	$0	$15.8M
Pathway Caring For Children	OH	Community/Behavioral Health Agency	$0	$9.4M
Stark Ambulatory Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$377.2K	$3.5M
Arnold Nothnagel	OH	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Eyes On Stark Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$1.1M	$847.1K
Robert Wenz	OH	Retina Specialist (Ophthalmology) Physician	$1.5M	$1.3K
Stephen Conti	OH	Retina Specialist (Ophthalmology) Physician	$1.5M	$10K
Sophia Pachydaki	OH	Retina Specialist (Ophthalmology) Physician	$1.4M	$6.3K
Mark Gersman	OH	Retina Specialist (Ophthalmology) Physician	$1.4M	$1.8K
Stephen Kaufman	OH	Retina Specialist (Ophthalmology) Physician	$1M	$16.2K

Northeast Professional Home, Inc. — Billing Profile & Reimbursement Data

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Northeast Professional Home, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References