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

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

Oconee Area Home Care Services, Inc. (NPI 1194785261)

Field	Value
Entity Type	Organization
Organization	Oconee Area Home Care Services, Inc.
Address	405 Gaines School Rd Ste A
City	Athens
State	GA
ZIP	30605
Taxonomy	Home Health Agency
NPI Enumerated	March 24, 2006

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Key Findings

Payer mix is effectively single-payer Medicaid: this provider has no Medicare billing on file and reports $14.9M in lifetime Medicaid revenue, indicating its billed activity and revenue base are concentrated in Medicaid rather than Medicare. Analysts should treat OCONEE AREA HOME CARE SERVICES, INC. as a Medicaid-focused home health agency when comparing payer portfolios.

Medicaid revenue is highly concentrated in a very small set of service codes: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with two codes explicitly listed driving all reported Medicaid receipts. This concentration suggests limited service-line diversification within the Medicaid program.

The top revenue driver, T1019, is personal care services billed per 15 minutes, which generated $10.8M (72.3% of the provider's Medicaid revenue) from 49.6K claims at an average paid/claim of $217. That code's statewide rank is strong — ranks #5 of 34 providers in-state (88th percentile; typical, unremarkable volume for this code) — indicating a substantial local presence for time-based personal care services but not an extreme statistical outlier.

The second-largest code, T1021 (home health aide or certified nurse assistant, per visit), produced $4.1M (27.7% of Medicaid revenue) from 2.5K claims at an average paid/claim of $1616. Its in-state position is moderate — ranks #8 of 18 providers in-state (59th percentile; typical, unremarkable volume for this code) — which signals a mid-tier footprint among peers that bill that visit-based aide code.

Service-line implications: the code mix (T1019 and T1021) points to an operational model built around personal care and aide visits rather than high volumes of skilled nursing, therapy, or medically complex home health services. This profile implies primary operational dependencies on aide staffing, scheduling for frequent short-duration visits (per 15 minutes), and coordination of per-visit aide encounters.

Financial and operational risk: with 100.0% of Medicaid revenue coming from a very small number of codes and $10.8M coming from a single code (T1019), the provider faces revenue concentration risk tied to policy, rate, or utilization shifts for time-based personal care services. The payment profile also shows differing units and economics — $217 avg paid/claim for T1019 versus $1616 avg paid/claim for T1021 — which reflects distinct billing units (15-minute increments versus per-visit) and creates sensitivity to changes in visit length or unitization.

Competitive standing in-state is mixed: the provider is a meaningful player for T1019 given an 88th percentile rank out of 34 providers, but it is a more modest participant for T1021 at the 59th percentile out of 18 peers. Given the relatively small universe of in-state reporters for these codes, small changes in claim volume or a few providers entering/exiting reporting could shift percentile positioning.

Tenure and market presence: the provider's NPI was enumerated on 2006-03-24 (~20 years ago), indicating long-standing registration and likely established local relationships with payers and referral sources in the Athens, GA area. This longevity supports continuity in service delivery even as revenue remains concentrated in a narrow set of Medicaid personal-care codes.

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…	49,570	$220	$10.8M
T1021	Home health aide or certified nurse assistant, per visit	2,550	$1,620	$4.1M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Oconee Area Home Care Services, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia 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…	5	30	17,680	$90	$6.9M
T1021	Home health aide or certified nurse assistant, per visit	8	20	2,310	$80	$4.3M

Nearby Providers

Other providers in the same ZIP code as Oconee Area Home Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heavenly Sunshine Health	GA	Nurse's Aide	$0	$3.3M
Jing Dong	GA	Ophthalmology Physician	$580.5K	$0
American Eye Surgery Center, Inc.	GA	Ambulatory Surgical Clinic/Center	$494.2K	$0
Whispering Pines Assisted Living Facility, LLC	GA	Assisted Living Facility	$0	$315K
Henry Morris	GA	Family Medicine Physician	$229.4K	$0
Kenneth Warren	GA	Physical Therapist	$205.6K	$0
Rachel Nation	GA	Physical Therapist	$134.9K	$0
Marshall Herron	GA	Podiatrist	$132.9K	$0
Anthony Gordon	GA	Foot Surgery Podiatrist	$67.7K	$0
Chandler Davis	GA	Registered Dietitian	$3.6K	$0

Oconee Area Home Care Services, Inc. — Billing Profile & Reimbursement Data

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Oconee Area 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

Nearby Providers

Frequently Asked Questions

References