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.

Lifepath, Inc. (NPI 1982651600)

Field	Value
Entity Type	Organization
Organization	Lifepath, Inc.
Address	3500 High Point Blvd
City	Bethlehem
State	PA
ZIP	18017
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	4,400	$3,150	$13.9M
Q5001	Hospice or home health care provided in patient's home/residence	1,260	$2,060	$2.6M
T2046	Hospice long term care, room and board only; per diem	60	$3,840	$245.6K
S9126	Hospice care, in the home, per diem	170	$1,280	$215.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,070	$60	$123.9K
Q5005	Hospice care provided in inpatient hospital	80	$930	$72.5K
Q5006	Hospice care provided in inpatient hospice facility	40	$1,760	$61.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,250	$20	$47.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	810	$60	$47.1K
T2045	Hospice general inpatient care; per diem	30	$990	$26.7K

Showing 1–10 of 15

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

Lifepath, Inc. — 1 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	1	10	4,400	$3,150	$13.9M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	357	690	2,240	$80	$1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	116	130	1,190	$100	$528.9K
Q5001	Hospice or home health care provided in patient's home/residence	1	10	40	$1,390	$520.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	540	560	1,400	$90	$485.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	432	540	1,490	$50	$316.4K
T2046	Hospice long term care, room and board only; per diem	1	10	60	$3,840	$245.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	549	710	320	$40	$241.4K
S9126	Hospice care, in the home, per diem	1	10	170	$1,280	$215.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	209	980	310	$50	$136.6K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$27.9M
Progressive Physician Assoc Inc	PA	Diagnostic Radiology Physician	$0	$8M
Children's Surgery Center Of Lehigh Valley, LLC	PA	Ambulatory Surgical Clinic/Center	$0	$7.2M
St. Luke's Physician Group, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
City Of Bethlehem	PA	Land Ambulance	$876.2K	$3.4M
Sltlbk Associates, LLC	PA	Ophthalmologic Surgery Clinic/Center	$3.6M	$15K
Ellen Field	PA	Rheumatology Physician	$2.1M	$0
Joseph Zaladonis	PA	Specialist	$1.4M	$0
David Vasily	PA	Dermatology Physician	$1.1M	$0
Nicole Chiappetta	PA	Rheumatology Physician	$625K	$0

Lifepath, Inc. — Billing Profile & Reimbursement Data

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Lifepath, 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