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

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

Nursing Management, Inc. (NPI 1063635050)

Field	Value
Entity Type	Organization
Organization	Nursing Management, Inc.
Address	925 Tommy Munro Dr. Ste E
City	Biloxi
State	MS
ZIP	39532
Taxonomy	Nursing Care Agency
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicaid	$42.3M
Medicare	$0

Key Findings

NURSING MANAGEMENT, INC. shows no Medicare billing on file and is effectively a single-payer Medicaid operation, with total Medicaid revenue of $42.3M reported. The lack of any Medicare activity contrasts with its substantial Medicaid footprint and should shape payer-mix and market analyses accordingly.

Revenue is highly concentrated in a narrow set of service codes: the precomputed top 3 Medicaid codes account for 96.4% of the provider's total Medicaid revenue. In particular, T1019 generates $23.1M (54.6% of Medicaid revenue) and S5125 generates $15.8M (37.4% of Medicaid revenue), together comprising the vast majority of dollars billed.

The code mix (T1019, S5125, S5150) indicates a business model centered on home- and community-based personal assistance and attendant/respite services provided in short-interval units (per 15 minutes). High volumes on per-15-minute personal care and attendant care codes imply an operational focus on scheduled, repetitive in-home support rather than primarily facility-based nursing services.

Claim and payment detail underscore operational scale: T1019 appears on 148K claims at an average paid/claim of $156 for $23.1M in revenue, S5125 on 78.8K claims at $201 avg paid/claim for $15.8M, and S5150 on 27.3K claims at $68 avg paid/claim for $1.9M. These counts reflect a high-volume delivery model that requires substantial field staff scheduling and capacity to deliver large numbers of short-interval visits.

Competitive standing across these codes is mixed but generally solid in-state. T1019 ranks #15 of 171 providers in-state (92th percentile) but is described in the data as "typical, unremarkable volume for this code," S5125 ranks #6 of 18 (71th percentile) and is likewise labeled "typical, unremarkable volume for this code," and S5150 ranks #16 of 85 (82th percentile) with the same "typical, unremarkable" characterization; overall the provider appears to be a meaningful local player for these home-care services without being an extreme outlier.

Secondary codes contribute only small shares of revenue but offer insight into service mix and unit economics: S9124 (nursing care by LPN) accounts for $915.3K (2.2%) on 265 claims with a $3454 avg paid/claim and ranks #9 of 11 in-state (20th percentile; typical, unremarkable volume for this code), while T1005 (respite care) accounts for $603.9K (1.4%) on 1.9K claims at a $324 avg paid/claim and ranks #5 of 6 (20th percentile; typical, unremarkable volume for this code). These smaller streams suggest occasional higher-intensity nursing episodes alongside the dominant personal/attendant care business.

The provider has long-tenure in national enrollment data, with NPI enumeration dated 2007-04-10 (~19 years ago), indicating an established presence in the market; combined with concentrated Medicaid revenue and high claim volumes on per-15-minute codes, this tenure supports a profile of an operationally mature home- and community-based care agency focused on Medicaid beneficiaries.

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…	147,980	$160	$23.1M
S5125	Attendant care services; per 15 minutes	78,770	$200	$15.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	27,320	$70	$1.9M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	270	$3,450	$915.3K
T1005	Respite care services, up to 15 minutes	1,860	$320	$603.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Nursing Management, Inc. — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	6	20	12,350	$340	$31.3M
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…	15	170	29,150	$100	$8.2M
T1005	Respite care services, up to 15 minutes	5	10	7,890	$340	$5M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	9	10	870	$260	$3.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	16	90	5,060	$60	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gulf Coast Abc Pediatrics, Inc.	MS	Pediatrics Physician	$0	$2.1M
Avit Gremillion	MS	Ophthalmology Physician	$1.8M	$0
Lighthouse Pediatrics	MS	Pediatrics Physician	$0	$1.6M
Golden Oak Senior Services LLC Dba Lemoyne Place	MS	Assisted Living Facility	$0	$1.5M
Antoine Rizk	MS	Cardiovascular Disease Physician	$509.1K	$0
Cedar Lake Open Mri LLC	MS	Diagnostic Radiology Physician	$276.3K	$181.6K
Paul Mullen	MS	Cardiovascular Disease Physician	$394.4K	$0
Michael Cunningham	MS	Interventional Cardiology Physician	$348.9K	$0
Rainna Bahadur	MS	Ophthalmology Physician	$288.7K	$0
Eva Magiros	MS	Cardiovascular Disease Physician	$287.2K	$0

Nursing Management, Inc. — Billing Profile & Reimbursement Data

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Nursing Management, 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