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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Accredited Health Services (NPI 1992837173)

Field	Value
Entity Type	Organization
Organization	Accredited Health Services
Address	711-729 Main Ave Ste 203205
City	Passaic
State	NJ
ZIP	07055
Taxonomy	Home Health Agency
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$87.7M
Medicare	$0

Key Findings

ACCREDITED HEALTH SERVICES is a Home Health Agency in PASSAIC, NJ with an NPI enumerated 2007-03-12 (~19 years ago). The provider reports no Medicare billing on file and $87.7M in lifetime Medicaid revenue, making its observed business effectively single-payer in the available claims data.

Revenue is extremely concentrated within Medicaid: the top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, and a single code, T1019, generates $87.6M (99.9% of the provider's Medicaid revenue). This indicates nearly all billed Medicaid dollars flow from one service line.

The code mix and code descriptions point to a primarily direct-care, personal-assistance operating model: T1019 (personal care services, per 15 minutes) dominates revenue, while T1001 (nursing assessment/evaluation) and S5125 (attendant care services; per 15 minutes) appear as much smaller, supporting components. This suggests the organization’s capacity and workforce are concentrated on hands-on personal care and attendant services rather than billable nursing or clinical procedures.

T1019 ranks #11 of 276 providers in-state (96th percentile) and is described as notably above typical state volume for this code, signaling a major in-state presence for personal care services. For analysts benchmarking in-state capacity and market share in personal care, ACCREDITED HEALTH SERVICES should be treated as a high-volume provider for T1019.

T1001 (1.8K claims, $63.1K revenue) ranks #7 of 63 providers in-state (90th percentile) and is characterized as typical/unremarkable volume for that code; this indicates the provider has a measurable but not dominant role in nursing assessment among the subset of billers. By contrast, S5125 (2.5K claims, $32.5K revenue) ranks #6 of 7 providers in-state (17th percentile) with typical/unremarkable volume, implying minimal market share for attendant-care billing relative to the small peer set for that code.

The near-monolithic reliance on T1019 revenue creates operational sensitivity to policy, rate, or utilization changes affecting personal care services — any reimbursement or eligibility shifts for T1019 would materially affect the provider’s Medicaid revenue profile. Analysts evaluating financial resilience or negotiating strategies should prioritize scenario analyses around T1019 reimbursement and utilization trends.

For comparative and competitive analysis, Medicare-based benchmarks are not applicable given no Medicare billing on file; instead, peer comparisons should focus on in-state Medicaid performers, particularly the T1019 cohort where this provider ranks in the 96th percentile. Contracting, utilization management, and network adequacy reviews should therefore emphasize T1019 capacity and distribution when assessing ACCREDITED HEALTH SERVICES’ role in the local Medicaid market.

Medicaid: Complete Services Breakdown

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

3 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…	1,067,910	$80	$87.6M
T1001	Nursing assessment / evaluation	1,800	$40	$63.1K
S5125	Attendant care services; per 15 minutes	2,500	$10	$32.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Accredited Health Services — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

3 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…	11	280	31,400	$90	$15.4M
S5125	Attendant care services; per 15 minutes	6	10	4,020	$50	$988.6K
T1001	Nursing assessment / evaluation	7	60	180	$40	$31.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prime Healthcare Services - St. Mary's Passaic LLC	NJ	General Acute Care Hospital	$0	$56.2M
Passaic Board Of Education	NJ	Local Education Agency (LEA)	$0	$32.7M
Passaic Pediatrics Ii PA	NJ	Pediatrics Physician	$0	$19.9M
Passaic Pediatrics PA	NJ	Pediatrics Physician	$0	$17.6M
Mer Associates LLC	NJ	Adult Day Care Clinic/Center	$0	$15.7M
2nd Home Passaic Operations, LLC	NJ	Adult Day Care Clinic/Center	$0	$14.5M
Smile Central Passaic P.C.	NJ	General Practice Dentistry	$0	$10.6M
Shah Anuj Md PC	NJ	Interventional Cardiology Physician	$0	$8.8M
Kindcare Pediatric Center LLC	NJ	Pediatrics Physician	$0	$7.6M
Prime Healthcare Services - St. Mary's Passaic, LLC	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$7.3M

Accredited Health Services — Billing Profile & Reimbursement Data

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Accredited Health Services — 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

Nearby Providers

Frequently Asked Questions

References