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.

Southern Home Care Services, Inc. (NPI 1043488034)

Field	Value
Entity Type	Organization
Organization	Southern Home Care Services, Inc.
Address	1700 E Park Ave
City	Valdosta
State	GA
ZIP	31602
Taxonomy	Home Health Agency
NPI Enumerated	February 13, 2008

Payer Source	Total Paid
Medicaid	$212.2M
Medicare	$0

Key Findings

SOUTHERN HOME CARE SERVICES, INC. reports no Medicare billing on file and is effectively a single-payer Medicaid provider with total Medicaid revenue of $212.2M, indicating its commercial and Medicare footprint is negligible or absent in available claims data. This concentration means analyses of its operations and risk profile should focus on Medicaid program rules and state-managed reimbursement dynamics rather than Medicare policy effects.

Revenue for this provider is extremely concentrated in a narrow set of services: the top three Medicaid codes account for 99.5% of total Medicaid revenue, led by T1019 at $137.5M (64.8%), followed by T1021 at $55.9M (26.3%), and T2025 at $17.7M (8.3%). This preponderance of a few codes suggests the business model is built around repeatable, high-volume personal and home-care billing rather than a broad array of clinical procedures.

The code mix (dominance of T1019 and T1021) points to an operational focus on personal care services and home health aide/CNA visits: T1019 is described as personal care services per 15 minutes, and T1021 represents home health aide or certified nurse assistant per visit. These service types imply a labor-intensive field workforce and scheduling model oriented to frequent, recurring in-home assistance rather than episodic skilled nursing or procedural care.

SOUTHERN HOME CARE SERVICES is a strong statewide competitor for its top codes: T1019 ranks #1 of 34 providers in-state (100th percentile; extreme outlier) and T1021 ranks #1 of 18 providers in-state (100th percentile; extreme outlier). Those rank positions indicate the provider is a dominant outlier in Georgia for both per-15-minute personal care billing and aide/CNA visit volume relative to peers.

Operational scale is reflected in utilization metrics: T1019 shows 1.9M claims with an average paid/claim of $71, and T1021 shows 901.9K claims with an average paid/claim of $62, underscoring very high claim counts with moderate per-claim reimbursement. Such a utilization profile is consistent with a large home-based personal care operator whose revenue growth depends on volume and staffing capacity rather than high unit prices.

Participation in waiver and ancillary programs is present but much smaller: T2025 (Waiver services; NOS) accounts for $17.7M (8.3%) and ranks #3 of 30 providers in-state (93th percentile; typical, unremarkable volume). This indicates the provider participates in waiver programs to a material but non-dominant extent compared with its core personal care lines.

Other nursing-oriented codes are immaterial to the revenue mix: T1031 (LPN nursing per diem) produced $1.1M (0.5%) and ranks #1 of 1 providers in-state (no peer comparison available), while T1030 (RN nursing per diem) generated $1.5K (0.0%) and ranks #2 of 2 providers in-state (typical). These small contributions reinforce that the agency’s business is centered on personal care/aide services rather than per-diem skilled nursing.

The provider has a long tenure in the NPI registry, enumerated on 2008-02-13 (~18 years ago), which suggests an established operational presence in its market and the potential for longstanding relationships with state Medicaid programs and case management entities. Combined with its concentrated Medicaid revenue and lack of Medicare billing, this tenure supports the interpretation of a mature, Medicaid-focused home health agency with significant scale in aide-driven services.

Medicaid: Complete Services Breakdown

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

5 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…	1,936,830	$70	$137.5M
T1021	Home health aide or certified nurse assistant, per visit	901,890	$60	$55.9M
T2025	Waiver services; not otherwise specified (nos)	162,060	$110	$17.7M
T1031	Nursing care, in the home, by licensed practical nurse, per diem	24,040	$50	$1.1M
T1030	Nursing care, in the home, by registered nurse, per diem	30	$50	$1.5K

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

Southern Home Care Services, Inc. — 2 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	3	30	15,890	$130	$7.5M
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	30	17,680	$90	$6.9M
T1021	Home health aide or certified nurse assistant, per visit	1	20	2,310	$80	$4.3M
T1031	Nursing care, in the home, by licensed practical nurse, per diem	1	10	24,040	$50	$1.1M
T1030	Nursing care, in the home, by registered nurse, per diem	2	10	410	$60	$24.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Home Care Services, Inc.	GA	In Home Supportive Care Agency	$0	$42.9M
Behavioral Health Services Of South Georgia	GA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.1M
1st America Infusion Services LLC	GA	Home Infusion Therapy Pharmacy	$219.3K	$18.5M
Hospital Authority Of Valdosta And Lowndes County Georgia	GA	General Acute Care Hospital	$0	$14M
Choices For Life Of Georgia, LLC	GA	Community/Behavioral Health Agency	$0	$9M
Valdosta Children's Healthcare Center ,LLC	GA	Pediatric Adolescent Medicine Physician	$0	$6.5M
Southern Home Care Services, Inc.	GA	Home Health Agency	$0	$6.5M
Paula Bennett	GA	Nurse Practitioner	$0	$3.2M
William Tidmore	GA	Rheumatology Physician	$2.8M	$0
Sgmp Southland LLC	GA	Psychiatry Physician	$0	$1.6M

Southern Home Care Services, Inc. — Billing Profile & Reimbursement Data

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Southern Home Care Services, 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