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

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

Tandra Mccain (NPI 1184879520)

Field	Value
Entity Type	Individual
Organization	Tandra Mccain
Address	2722 N Highway 67
City	Florissant
State	MO
ZIP	63033
Taxonomy	Social Worker
NPI Enumerated	November 26, 2008

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 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…	92,570	$60	$5.7M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Tandra Mccain — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	158	1,330	6,550	$80	$4.6M

Nearby Providers

Other providers in the same ZIP code as Tandra Mccain, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Missouri Direct Care LLC	MO	In Home Supportive Care Agency	$0	$31.3M
1st Choice Home Health Services LLC	MO	Home Health Agency	$0	$21.7M
Equilibrium Homes Of St. Louis LLC	MO	Intellectual Disabilities Intermediate Care Facility	$0	$17.1M
A Better Option LLC	MO	Home Health Agency	$0	$6.6M
Precious Palms Home Services LLC	MO	In Home Supportive Care Agency	$0	$6.4M
Adminicare	MO	In Home Supportive Care Agency	$0	$5.9M
Easy Care Consumer Directed Services LLC	MO	In Home Supportive Care Agency	$0	$5.5M
Care Companion Health Services, LLC	MO	Home Health Agency	$0	$5.3M
Tender Hands Home Healthcare, LLC	MO	In Home Supportive Care Agency	$0	$4.3M
Personalized Care, Consumer Direct Services, Lc	MO	Home Health Agency	$0	$4.2M

Tandra Mccain — Billing Profile & Reimbursement Data

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Tandra Mccain — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References