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

Why is the Medicaid comparison limited to Alaska 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. Alaska (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 1174854590)

Field	Value
Entity Type	Organization
Organization	Southern Home Care Services, Inc.
Address	460 Ridgecrest Drive
City	Bethel
State	AK
ZIP	99559
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	January 25, 2010

Payer Source	Total Paid
Medicaid	$68.7M
Medicare	$0

Key Findings

This provider is effectively single-payer in its claims footprint: SOUTHERN HOME CARE SERVICES, INC. has no Medicare billing on file and reports $68.7M in lifetime Medicaid revenue. The absence of Medicare activity combined with material Medicaid scale indicates the entity’s business operations and revenue are concentrated on Medicaid-funded home- and community-based services rather than Medicare post-acute or skilled home health lines.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes by revenue account for 67.5% of this provider’s total Medicaid revenue. Those top contributors are T1019 ($20.3M, 29.5% of Medicaid revenue), T2017 ($14M, 20.4%), and T2021 ($12M, 17.5%), showing that just three service lines drive roughly two-thirds of overall Medicaid receipts.

The code mix points to a service portfolio centered on personal care and habilitation support rather than medical/skilled nursing care. High revenue and claim counts for T1019 (personal care services), T2017 (residential habilitation, waiver), and T2021 (day habilitation, waiver) indicate the provider operates large-scale attendant care, waiver habilitation, and day program capacity rather than traditional home health or therapy services.

Competitive standing in-state is strong for multiple high-revenue codes: T1019 ranks #2 of 30 providers in-state (97th percentile) and is described as notably above typical state volume; T2017 ranks #3 of 34 (94th percentile) and T2021 ranks #6 of 61 (92nd percentile). These rank/percentile positions indicate SOUTHERN HOME CARE is a major, above-typical provider of personal care and habilitation services within Alaska’s Medicaid market.

Operational scale is reflected in claim volume and unit payments: T1019 has 285.7K claims at $71 avg paid/claim yielding $20.3M, T2017 has 71.2K claims at $197 avg paid/claim yielding $14M, and S5125 (attendant care) shows 126.5K claims at $82 avg paid/claim yielding $10.4M. These high claim counts combined with mid-range per-claim payments are consistent with a high-frequency, time-based service model (per 15-minute billing increments) typical of personal care and attendant programs.

Beyond the top three, the provider also shows material revenue in attendant and respite codes: S5125 contributes $10.4M (15.1% of Medicaid revenue) and S5150 contributes $6.8M (9.9%), both ranked in top state percentiles (S5125 #2 of 21, 95th; S5150 #2 of 37, 97th) and described as notably above typical state volume. This mix underscores a broader portfolio of home- and community-based supportive services, not limited to habilitation alone.

The presence of S5140 (foster care, adult; per diem) at $3.5M (5.1% of Medicaid revenue) and ranking #1 of 4 providers in-state (100th percentile) signals a meaningful role in per-diem foster care placements in addition to time-based waiver services. That per-diem component suggests the organization manages both continuous residential supports and high-frequency community-based care streams.

The provider has posted consistent presence over time: the NPI was enumerated on 2010-01-25 (~16 years ago), indicating long tenure in the state market. Combined with high-volume coding in multiple top-percentile categories, this longevity supports the interpretation of an established operational footprint and sustained specialization in Medicaid-funded personal care, attendant, and habilitation services.

Medicaid: Complete Services Breakdown

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

9 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…	285,730	$70	$20.3M
T2017	Habilitation, residential, waiver; 15 minutes	71,180	$200	$14M
T2021	Day habilitation, waiver; per 15 minutes	73,380	$160	$12M
S5125	Attendant care services; per 15 minutes	126,460	$80	$10.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	84,970	$80	$6.8M
S5140	Foster care, adult; per diem	34,260	$100	$3.5M
T2019	Habilitation, supported employment, waiver; per 15 minutes	4,300	$200	$869.2K
S5120	Chore services; per 15 minutes	9,020	$60	$495.9K
S5151	Unskilled respite care, not hospice; per diem	1,050	$270	$280.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Southern Home Care Services, Inc. — 3 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	3	30	17,510	$250	$6.5M
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…	2	30	38,770	$70	$6M
S5125	Attendant care services; per 15 minutes	2	20	38,630	$110	$5.4M
T2021	Day habilitation, waiver; per 15 minutes	6	60	11,640	$150	$3.5M
T2019	Habilitation, supported employment, waiver; per 15 minutes	9	10	12,150	$170	$2.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	2	40	16,160	$80	$2M
S5140	Foster care, adult; per diem	1	10	5,320	$110	$1.3M
S5151	Unskilled respite care, not hospice; per diem	5	10	1,050	$320	$656.7K
S5120	Chore services; per 15 minutes	2	10	3,570	$50	$274.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southern Home Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Home Care Services, Inc.	MO	In Home Supportive Care Agency	$0	$44.2M
Southern Home Care Services, Inc.	GA	In Home Supportive Care Agency	$0	$42.9M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$14.1M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$6.6M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$5.8M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$4.5M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$4M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$3.9M
Southern Home Care Services	SC	Nursing Care Agency	$0	$2.8M

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
Yukon-kuskokwim Health Corporation	AK	Rural Acute Care Hospital	$0	$205.3M
Yukon-kuskokwim Health Corporation	AK	Transportation Broker	$0	$96.3M
Yukon-kuskokwim Health Corporation	AK	Physician Assistant	$0	$61.2M
Yukon Kuskokwim Health Corp	AK	Endodontics	$0	$30.2M
Yukon Kuskokwim Health Corp	AK	Mental Health Counselor	$0	$29.5M
Yukon Kuskokwim Health Corp	AK	Optometrist	$0	$7M
Yukon Kuskokwim Health Corp	AK	Developmentally Disabled Services Day Training Agency	$0	$6.4M
Bethel Family Clinic	AK	Federally Qualified Health Center (FQHC)	$0	$2.6M
Yukon-kuskokwim Health Corporation	AK	Case Management Agency	$0	$831.3K
City Of Bethel	AK	Land Ambulance	$23K	$686.2K

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

Related Providers

Nearby Providers

Frequently Asked Questions

References