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.

Pedicare Staffing Agency, LLC (NPI 1114449501)

Field	Value
Entity Type	Organization
Organization	Pedicare Staffing Agency, LLC
Address	18052 Midway Rd
City	Terry
State	MS
ZIP	39170
Taxonomy	Nursing Care Agency
NPI Enumerated	July 7, 2017

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available files: there is no Medicare billing on file and all reported federal reimbursement comes from Medicaid, with total Medicaid revenue of $18.8M. The absence of Medicare activity indicates the organization’s operations and revenue are concentrated entirely within state Medicaid programs rather than a mixed Medicare/Medicaid model.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with S9123 and S9124 together representing the overwhelming share of dollars. This concentration means trends or rate changes for those specific codes will directly and immediately affect overall revenue.

The top revenue-driving codes (S9123, S9124, T1001) identify a clear service line: in‑home, hourly nursing care and nursing assessments. S9123 is billed as "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)", S9124 as "Nursing care, in the home; by licensed practical nurse, per hour", and T1001 as "Nursing assessment / evaluation", which together indicate the organization operates as a labor‑intensive home nursing agency focused on hands‑on nursing visits and formal assessments.

S9123 is the dominant Medicaid revenue driver with 26.4K claims, $564 avg paid/claim, and $14.9M revenue (79.3% of this provider's total Medicaid revenue); it ranks #2 of 17 providers in-state at the 94th percentile, and is described as "typical, unremarkable volume for this code." This placement suggests the provider is a leading in‑state supplier of RN in‑home nursing hours while still falling within the dataset’s expectations for volume distribution.

S9124 is the second major revenue source with 16.9K claims, $227 avg paid/claim, and $3.8M revenue (20.5% of this provider's total Medicaid revenue); it ranks #2 of 11 providers in-state at the 90th percentile and is also labeled "typical, unremarkable volume for this code." The presence of substantial LPN‑hour billing alongside RN hours indicates a staffing mix that uses lower‑cost practical nurses for a meaningful share of patient contact time.

T1001 (Nursing assessment / evaluation) plays only a minor revenue role with 1.5K claims, $32 avg paid/claim, and $48.7K revenue (0.3% of this provider's total Medicaid revenue); it ranks #3 of 9 providers in-state at the 75th percentile and is described as "typical, unremarkable volume for this code." Its small share suggests assessments are billed regularly but are not a primary revenue engine compared with hourly care codes.

Operationally, the claim volumes—26.4K for S9123 and 16.9K for S9124—combined with the hourly nature of those codes indicate a sizable field workforce and schedule management requirement to deliver the billed hours. The large counts and the disparity in avg paid/claim ($564 for S9123 vs $227 for S9124) also imply that RN hours carry materially higher per‑unit reimbursement than LPN hours, which has direct implications for staffing mix and revenue per visit planning.

The provider has been enumerated since 2017-07-07 (~9 years ago), indicating an established presence in the market; given the concentrated Medicaid revenue base, this tenure likely reflects sustained in‑home nursing operations within the state Medicaid program rather than recent market entry. Continued monitoring should focus on state policy or rate changes for S9123 and S9124 because shifts there would disproportionately affect this entity's financial profile.

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
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)	26,360	$560	$14.9M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	16,900	$230	$3.8M
T1001	Nursing assessment / evaluation	1,520	$30	$48.7K

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

Pedicare Staffing Agency, LLC — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	20	5,690	$500	$4.9M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2	10	870	$260	$3.7M
T1001	Nursing assessment / evaluation	3	10	130	$30	$20.9K

Nearby Providers

Other providers in the same ZIP code as Pedicare Staffing Agency, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Star Healthcare Registry	MS	Licensed Practical Nurse	$0	$1.7M

Pedicare Staffing Agency, LLC — Billing Profile & Reimbursement Data

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Pedicare Staffing Agency, LLC — 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