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

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

H-squared Health Resources Inc (NPI 1033524798)

Field	Value
Entity Type	Organization
Organization	H-squared Health Resources Inc
Address	119 Griffin St
City	Mcdonough
State	GA
ZIP	30253
Taxonomy	Home Health Agency
NPI Enumerated	June 20, 2014

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and lifetime Medicaid revenue is $11.7M, so all billed activity on file is driven by Medicaid reimbursement rather than any Medicare business stream. Analysts should treat Medicaid as the sole source of observed claims and revenues for competitive and utilization benchmarking.

Revenue is highly concentrated in a single service line: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with S9124 alone representing $11M (93.7% of Medicaid revenue) and S9123 contributing $736.1K (6.3%). This concentration implies the provider’s financial performance is tightly coupled to demand and reimbursement for a very narrow set of home nursing services.

The service mix indicates an LPN‑driven in‑home nursing operation: S9124 (Nursing care in the home by licensed practical nurse, per hour) is the dominant code, and S9123 (Nursing care in the home by registered nurse, per hour) is a much smaller contributor. Together these codes point to an operational model focused on hourly home‑visit nursing rather than bundled home health episodes or ancillary therapy services.

Competitive standing for the dominant code is strong in the local peer set: S9124 ranks #1 of 5 providers in-state and sits at the 100th percentile, which indicates the provider is the largest reporter of LPN in‑home nursing among the five peers. However, the dataset labels this volume as "typical, unremarkable," suggesting the in‑state peer group is small and that top rank does not imply an extreme statistical outlier.

For RN hours (S9123) the provider is a modest participant: S9123 ranks #4 of 5 in-state and is at the 25th percentile, with 2K claims and an average paid/claim of $361. This positioning signals limited scale on RN‑provided home nursing relative to in‑state peers, even though S9123 contributes a non‑negligible share of the remaining Medicaid revenue.

Operational and reimbursement details underline the volume strategy: S9124 shows 30.6K claims with an average paid/claim of $359 while S9123 shows 2K claims at $361 avg paid/claim, so the two codes have similar per‑claim reimbursement but very different claim volumes. The provider’s reliance on high volume LPN hours (S9124) rather than higher‑cost RN hours drives its revenue profile and should be a focus for utilization and staffing sensitivity analyses.

Tenure in the dataset is well established: the provider’s NPI was enumerated on 2014-06-20 (~12 years ago), indicating over a decade of presence in the claims environment and providing a sufficient history for trend analysis if multi‑year data are available.

There are no statistical outliers flagged in the provided code descriptions; both S9124 and S9123 are described as "typical, unremarkable volume for this code." Despite the provider’s extreme revenue concentration in S9124, the underlying claim volumes are within expected ranges for the in‑state peer group rather than being anomalous on a statistical basis.

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
S9124	Nursing care, in the home; by licensed practical nurse, per hour	30,640	$360	$11M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	2,040	$360	$736.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

H-squared Health Resources Inc — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1	10	140	$350	$3.8M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	4	10	7,030	$170	$992.1K

Nearby Providers

Other providers in the same ZIP code as H-squared Health Resources Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcdonough Pediatrics	GA	Pediatrics Physician	$0	$6.5M
Henry County Commissioner Of Roads And Revenues	GA	Land Ambulance	$1.1M	$0
Tiffany Sullivan	GA	Professional Counselor	$0	$1.1M
Kristina Coles	GA	Clinical Social Worker	$0	$1M
Rajasekhar Reddy	GA	Interventional Cardiology Physician	$593K	$0
Muthusamy Sekar	GA	Interventional Cardiology Physician	$543.1K	$0
Charlinda Cannady	GA	Professional Counselor	$0	$494.3K
Pritam Polkampally	GA	Interventional Cardiology Physician	$492.5K	$0
Jeevith Kanukunta	GA	Interventional Cardiology Physician	$449.6K	$0
Orthopedic South Surgical Partners, LLC	GA	Ambulatory Surgical Clinic/Center	$427.4K	$0

H-squared Health Resources Inc — Billing Profile & Reimbursement Data

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H-squared Health Resources Inc — 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