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

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

Sisterly Care Health Services LLC. (NPI 1124073432)

Field	Value
Entity Type	Organization
Organization	Sisterly Care Health Services LLC.
Address	708 W Main St
City	Tishomingo
State	OK
ZIP	73460
Taxonomy	Home Health Agency
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$48.4M
Medicare	$0

Key Findings

SISTERLY CARE HEALTH SERVICES LLC. is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports $48.4M in lifetime Medicaid revenue. The absence of Medicare activity means the organization’s reimbursement exposure and payer strategy are concentrated almost entirely in the Medicaid program.

Revenue concentration is extreme: the precomputed top three Medicaid codes by revenue account for 98.4% of this provider's total Medicaid revenue. In particular, T1016 alone generates $42.4M (87.6% of Medicaid revenue), signaling a highly concentrated service mix tied to a small set of procedure codes.

The provider’s dominant code is T1016 (Case management, each 15 minutes), with 683.7K claims, $62 avg paid/claim and $42.4M revenue; it ranks #1 of 137 providers in-state (100th percentile) and is described as an extreme outlier. This position indicates statewide dominance in billed case management volume and suggests operational scale focused on case management workflows.

Clinical staffing and skilled nursing are meaningful but much smaller contributors: T1002 (Rn services, up to 15 minutes) accounts for $4.2M (8.6% of Medicaid revenue) across 49.5K claims and ranks #2 of 49 providers in-state (98th percentile, labeled an extreme outlier). G0300 (LPN skilled nursing) contributes $1.1M (2.2% of Medicaid revenue) over 16.9K claims and ranks #2 of 20 providers (95th percentile, notably above typical state volume). Together with T1016, these codes make up the bulk of the provider’s billings and show a workforce mix oriented to case management supported by both RN and LPN home visits.

G0299 (RN skilled nursing, each 15 minutes) also appears in the billing mix with $772.1K (1.6% of Medicaid revenue) and 11.4K claims, ranking #2 of 19 providers in-state (94th percentile, notably above typical state volume). While not a top-3 revenue driver, G0299’s presence reinforces that SISTERLY CARE operates with hands-on skilled nursing capacity alongside heavy case management.

From a competitive-stance perspective, the provider is an outlier in the state for its two top lines: T1016 (100th percentile) and T1002 (98th percentile), and notably above peers for skilled nursing codes (G0300 and G0299 at the mid‑90s percentiles). These ranks indicate SISTERLY CARE is a major, possibly dominant, statewide provider for case management and a leading provider of home RN/LPN services relative to in-state peers.

The operational implications of the code mix are clear: the business appears structured around high-volume case management services with supplemental skilled nursing (RN and LPN) visits. This suggests staffing, scheduling, and documentation processes emphasize frequent, short-interval interactions (15‑minute units) typical of home health case management and skilled-nursing delivery models.

Concentration risk is material given the reliance on a few codes (top three = 98.4% of Medicaid revenue); any policy, coverage, or rate changes affecting T1016, T1002, or G0300 could materially alter revenue. Analysts and contracting teams should treat reimbursement or utilization shifts for those specific codes as strategically important for this provider’s financial stability.

The provider has an established presence: its NPI was enumerated on 2006-05-24 (about 20 years ago), indicating long tenure in the market. That longevity combined with extreme-volume rankings suggests sustained operational focus on Medicaid case management and in-home nursing services rather than a recent ramp-up or transient billing pattern.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	683,700	$60	$42.4M
T1002	Rn services, up to 15 minutes	49,480	$80	$4.2M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	16,860	$60	$1.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	11,360	$70	$772.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Sisterly Care Health Services LLC. — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	1	140	3,200	$60	$2.3M
T1002	Rn services, up to 15 minutes	2	50	1,690	$80	$367.6K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	2	20	140	$60	$199.6K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	2	20	1,830	$70	$188.8K

Nearby Providers

Other providers in the same ZIP code as Sisterly Care Health Services LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$18M
Family Health Center Of Southern Oklahoma Inc	OK	Federally Qualified Health Center (FQHC)	$0	$10.6M
Refuge Behavioral Health PLLC	OK	Clinic/Center	$0	$5M
Mercy Hospital Tishomingo, Inc.	OK	Critical Access Hospital	$0	$3.7M
Victory Home Health, LLC	OK	Home Health Agency	$0	$3.5M
Southern Oklahoma Treatment Services, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.6M
Pennington Creek Lifehouse	OK	Case Management Agency	$0	$2.2M
Southeastern Oklahoma Family Services, Inc	OK	Community/Behavioral Health Agency	$0	$1.8M
Johnston County Emergency Medical Services	OK	Intermediate Emergency Medical Technician	$295.8K	$758.6K
Bobby Priddy	OK	Family Nurse Practitioner	$13.5K	$0

Sisterly Care Health Services LLC. — Billing Profile & Reimbursement Data

Sign up for Sisterly Care Health Services LLC. — Billing Profile & Reimbursement Data policy alerts

Sisterly Care Health Services LLC. — Billing Profile & Reimbursement Data

Sign up for Sisterly Care Health Services LLC. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References