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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Metro Pavia At Home LLC (NPI 1972917946)

Field	Value
Entity Type	Organization
Organization	Metro Pavia At Home LLC
Address	60 Calle Bolivia
City	San Juan
State	PR
ZIP	00917
Taxonomy	Home Health Agency
NPI Enumerated	June 17, 2014

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while total Medicaid revenue is $5.6M, indicating the organization’s operational scale is driven almost entirely by Medicaid contracts and beneficiaries. The absence of Medicare activity suggests its business model and referral networks are focused on Medicaid-managed care or fee‑for‑service Medicaid populations rather than Medicare beneficiaries.

Revenue is highly concentrated in a very small set of services: the top 3 Medicaid codes (G0299, G0151, S9379) account for 94.9% of this provider’s total Medicaid revenue. Specifically, G0299 accounts for $3.8M (67.5%), G0151 for $1M (18.0%), and S9379 for $521.4K (9.4%), showing that a handful of service lines drive the overwhelming majority of receipts.

The code mix and volumes point to a home‑based skilled nursing and therapy operation with integrated infusion capability. G0299 (36.5K claims, $103 avg paid/claim, $3.8M revenue) is the largest single line and represents direct RN skilled nursing in the home, while G0151 (11.1K claims, $90 avg paid/claim, $1M revenue) signals a heavy emphasis on in‑home physical therapy; S9379 (7.4K claims, $70 avg paid/claim, $521.4K revenue) indicates meaningful home infusion per diem services.

Competitive standing for home physical therapy is dominant statewide: the provider ranks #1 of 11 for G0151 and is at the 100th percentile, described as notably above typical state volume for this code. That #1 rank and the high G0151 volume suggest the entity is a primary in‑state destination for Medicaid in‑home physical therapy services.

For skilled nursing (G0299) the provider is a major in‑state participant, ranking #2 of 11 and at the 90th percentile, again noted as notably above typical state volume for this code. The large absolute volume for G0299 (36.5K claims) and its $3.8M revenue share indicate market influence in delivering RN home health services across the state.

The provider’s role in home infusion (S9379) and ancillary home health services is material but not dominant: S9379 ranks #2 of 5 (75th percentile) and is characterized as typical, unremarkable volume relative to peers. Smaller revenue lines—G0152 (OT; 1.4K claims, $129.3K revenue; #1 of 3), E2402 (negative pressure wound pump; 1.1K claims, $74.2K revenue; #4 of 8), and other therapy/aide codes—support a broader home‑care offering but together contribute only modest shares of the $5.6M total.

The provider has an established operating history in the state, with its NPI enumerated on 2014-06-17 (~12 years ago), indicating a long‑standing presence in Puerto Rico’s Medicaid home health market. That tenure combined with concentrated service volumes implies entrenched referral and operational processes for the specific home‑based nursing and therapy services it delivers.

Operational and reimbursement sensitivity should be noted: because $5.6M in Medicaid revenue is heavily concentrated (94.9%) in three codes—G0299, G0151, and S9379—the provider’s revenue would be disproportionately affected by changes in Medicaid payment policy, utilization management, or competitive shifts targeting those specific home health and infusion services. At the same time, strong rankings (particularly #1 for G0151 and #2 for G0299) indicate the provider is well positioned to capture referrals and volume within those service lines under the current Medicaid environment.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	36,450	$100	$3.8M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	11,140	$90	$1M
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	7,450	$70	$521.4K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1,410	$90	$129.3K
E2402	Negative pressure wound therapy electrical pump, stationary or portable	1,110	$70	$74.2K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	810	$60	$51.9K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	140	$110	$14.9K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	100	$100	$9.8K
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	50	$120	$5.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

Metro Pavia At Home LLC — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	2	10	1,750	$100	$1M
E2402	Negative pressure wound therapy electrical pump, stationary or portable	4	10	1,100	$330	$349.9K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	2	10	1,650	$60	$247.7K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	1	10	1,150	$80	$197K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	2	10	950	$60	$61.4K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1	10	60	$90	$44.7K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	2	10	230	$110	$24.4K
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	3	10	270	$30	$10.3K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	1	10	100	$100	$9.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Metro Pavia At Home LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Pavia At Home, LLC	PR	Home Health Agency	$0	$6.6M
Metro Pavia At Home LLC	PR	Home Health Agency	$0	$954.2K
Metro Pavia At Home, LLC	PR	Home Health Agency	$0	$746K

Nearby Providers

Other providers in the same ZIP code as Metro Pavia At Home LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Puerto Rico Pathology Associates P	PR	Anatomic Pathology & Clinical Pathology Physician	$0	$6.8M
Centro De Rehabilitacion Y Electrodiagnostico De Hato Rey, LLC	PR	Physical Medicine & Rehabilitation Physician	$0	$1.8M
Retina Consultants Of P.r.	PR	Ophthalmology Physician	$0	$1.7M
Er Specialized Care LLC	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.5M
Aid System LLC	PR	Diagnostic Radiology Physician	$0	$1.3M
Rvp Dental Medical Center, LLC	PR	Dental Clinic/Center	$0	$948.1K
Oncology & Body Imaging Psc	PR	Diagnostic Radiology Physician	$0	$905.6K
Endourological Institute Inc	PR	Ambulatory Surgical Clinic/Center	$16.9K	$609.4K
Mirelis Acosta	PR	Hematology & Oncology Physician	$6.3K	$215.1K
Gabriela Trabal-yulfo	PR	Ophthalmology Physician	$24.3K	$185.1K

Metro Pavia At Home LLC — Billing Profile & Reimbursement Data

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Metro Pavia At Home 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