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.

First Choice Home Care, LLC (NPI 1184999088)

Field	Value
Entity Type	Organization
Organization	First Choice Home Care, LLC
Address	510 Grand Ave
City	Yazoo City
State	MS
ZIP	39194
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 12, 2012

Payer Source	Total Paid
Medicaid	$106M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all reported federal claims activity is through Medicaid, which accounts for $106M in lifetime revenue. The absence of Medicare billing suggests the organization's operations and contracting are concentrated entirely within state Medicaid programs rather than dual‑eligible or Medicare fee‑for‑service markets.

Revenue is highly concentrated in a narrow set of Medicaid service lines: the precomputed top 3 codes account for 100.0% of this provider's total Medicaid revenue, with two codes listed driving almost all receipts. Specifically, T1019 represents 89.4% of Medicaid revenue and S5150 represents 10.6%, leaving negligible contribution from other procedure codes.

Service mix and operations are consistent with a time‑based, in‑home personal care and respite provider: the taxonomy is In Home Supportive Care Agency and the top codes are T1019 (personal care services, per 15 minutes) and S5150 (unskilled respite care, per 15 minutes). High claim counts of 1.1M claims for T1019 and 170.3K claims for S5150, combined with per‑claim averages of $88 and $66 respectively, indicate a labor‑intensive, recurring visit model paid on 15‑minute increments and focused on routine assistance and caregiver relief.

Scale and competitive standing in the state are outsized for both leading codes: T1019 ranks #3 of 171 providers in‑state and S5150 ranks #2 of 85 providers in‑state, with both described as 99th percentile, extreme outlier, far above typical state volume for their codes. These ranks signal the provider is a dominant in‑state performer for personal care and respite services rather than a modest local participant.

The provider’s revenue profile—$94.8M from T1019 and $11.2M from S5150—creates operational and reimbursement concentration risk because virtually all Medicaid revenue is tied to two time‑based home care codes. Any state policy change, eligibility shift, or rate adjustment affecting T1019 or S5150 would disproportionately affect the organization’s $106M Medicaid portfolio.

Operational intensity is evident from the combination of very high claim volumes and time‑based billing: 1.1M claims at $88 avg paid/claim for T1019 and 170.3K claims at $66 avg paid/claim for S5150 imply large frontline staffing needs, scheduling complexity, and significant administrative throughput to process frequent 15‑minute unit billings. This pattern suggests the business model depends on scalable home‑visit delivery and workforce management rather than episodic clinical interventions.

The provider has an established market presence, with an NPI enumeration date of 2012-03-12 (~14 years ago). Coupled with its extreme outlier ranking on key in‑home codes, the tenure supports a picture of an entrenched Medicaid personal care and respite provider in Yazoo City, MS with a consolidated state market position for these services.

Medicaid: Complete Services Breakdown

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

2 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…	1,076,870	$90	$94.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	170,320	$70	$11.2M

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

First Choice Home Care, LLC — 2 of 2 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

2 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…	3	170	29,150	$100	$8.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	2	90	5,060	$60	$1.3M

Nearby Providers

Other providers in the same ZIP code as First Choice Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Medical Center - Yazoo, Inc	MS	Critical Access Hospital	$0	$11.6M
Vibha Vig Md PA	MS	Primary Care Clinic/Center	$0	$4.5M
Kidz 1st Clinic, LLC	MS	Rural Health Clinic/Center	$0	$2.9M
Bio-medical Applications Of Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Baptist Medical Center - Yazoo, Inc	MS	Rural Health Clinic/Center	$0	$1.8M
Paul Family Dentistry, Inc.	MS	Dentist	$0	$1.6M
First Choice Adult Day Center Inc	MS	Adult Day Care Clinic/Center	$0	$1.5M
Heath Scott	MS	Family Medicine Physician	$253.3K	$0
Thomas Fisher	MS	Family Nurse Practitioner	$111.3K	$0

First Choice Home Care, LLC — Billing Profile & Reimbursement Data

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First Choice Home Care, 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