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

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

Priority Home Care Inc (NPI 1992878219)

Field	Value
Entity Type	Organization
Organization	Priority Home Care Inc
Address	445 Hamilton Ave
City	White Plains
State	NY
ZIP	10601
Taxonomy	Home Health Registered Nurse
NPI Enumerated	November 16, 2006

Payer Source	Total Paid
Medicaid	$21.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 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…	65,540	$190	$12.5M
T1020	Personal care services, per diem, 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…	33,260	$280	$9.2M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Priority Home Care Inc — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

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

2 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…	541	910	108,820	$150	$81.8M
T1020	Personal care services, per diem, 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…	118	350	12,660	$310	$13.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Link Home Care LLC	NY	Home Health Agency	$0	$115.6M
White Plains Hospital Medical Center	NY	General Acute Care Hospital	$0	$47.6M
Personal Touch Home Care Of Westchester Inc	NY	Home Health Agency	$0	$23.6M
Richard L. Aronson Inc.	NY	Nursing Care Agency	$0	$21.3M
Arthur Holmberg	NY	Internal Medicine Physician	$1.1M	$188.3K
Seth Potash	NY	Ophthalmology Physician	$687.4K	$950
Seth Lerner	NY	Urology Physician	$344.4K	$0
Jefffrey Vainshtein	NY	Radiation Oncology Physician	$333.3K	$0
Daniel Wang	NY	Clinical Cardiac Electrophysiology Physician	$326.4K	$0
Randy Stevens	NY	Radiation Oncology Physician	$286K	$0

Priority Home Care Inc — Billing Profile & Reimbursement Data

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Priority Home Care 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