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

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

A Place Called Home (NPI 1194268375)

Field	Value
Entity Type	Organization
Organization	A Place Called Home
Address	25 Henderson Dr
City	Mc Kenzie
State	TN
ZIP	38201
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 21, 2016

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	38,710	$60	$2.4M
S5125	Attendant care services; per 15 minutes	18,350	$100	$1.9M
T2030	Assisted living, waiver; per month	20	$1,070	$16K
S5150	Unskilled respite care, not hospice; per 15 minutes	60	$80	$4.6K
S5170	Home delivered meals, including preparation; per meal	560	$10	$3.4K
S5121	Chore services; per diem	10	$50	$600

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

A Place Called Home — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	81	160	18,880	$110	$3.9M
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…	43	210	10,880	$90	$3.7M
T2030	Assisted living, waiver; per month	38	40	360	$1,040	$774.1K
S5170	Home delivered meals, including preparation; per meal	24	30	16,820	$10	$316.6K
S5150	Unskilled respite care, not hospice; per 15 minutes	97	110	1,370	$60	$264K
S5121	Chore services; per diem	4	10	1,520	$40	$144.3K

Nearby Providers

Other providers in the same ZIP code as A Place Called Home, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mckenzie Medical Center PC	TN	Rural Health Clinic/Center	$0	$12.9M
Laboratory Corporation Of America Holdings	TN	Clinical Medical Laboratory	$525.2K	$898.9K
Med-trans Corporation	TN	Air Ambulance	$360.3K	$15.2K
Scott Spivey	TN	Optometrist	$83.9K	$16.9K
Patricia Cunningham	TN	Clinical Social Worker	$4.8K	$0

A Place Called Home — Billing Profile & Reimbursement Data

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A Place Called Home — Billing Profile & Reimbursement Data

Sign up for A Place Called Home — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References