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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Mission Medstaff, LLC (NPI 1205163185)

Field	Value
Entity Type	Organization
Organization	Mission Medstaff, LLC
Address	1233 W Morehead St
City	Charlotte
State	NC
ZIP	28208
Taxonomy	Nursing Care Agency
NPI Enumerated	November 12, 2009

Payer Source	Total Paid
Medicaid	$59.6M
Medicare	$0

Key Findings

This provider is effectively single-payer: Total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $59.6M, indicating all reported lifetime billing on file is driven by Medicaid. Analysts should treat Medicaid as the dominant and sole payor in financial and utilization modelling for this entity.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 95.1% of this provider's total Medicaid revenue, showing dependence on a very small set of service lines. That concentration suggests financial sensitivity to policy or rate changes affecting those specific codes.

The code mix indicates a core business of high-volume private-duty and short-interval nursing services: T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes) accounts for $50M revenue (83.8% of this provider's total Medicaid revenue) and is the dominant revenue driver. Complementary lines include RN services (T1002) and respite care (T1005), which together with T1000 compose the majority of billed activity and point to an operation structured around frequent, per-15-minute home- or community-based nursing visits.

Competitive standing on T1000 is strong: the provider ranks #2 of 72 in-state and sits at the 99th percentile for volume on that code, described as notably above typical state volume. This ranking positions the organization as one of the largest in North Carolina for private-duty licensed nursing services.

T1002 (Rn services, up to 15 minutes) is an outlier within the state: with $3.6M revenue (6.0% of this provider's total Medicaid revenue) the provider ranks #1 of 46 and is labeled an extreme outlier, far above typical state volume for this code. Such an extreme percentile rank for RN-level services suggests a staffing mix and clinical capability that exceeds most peers.

T1005 (Respite care services, up to 15 minutes) contributes $3.2M (5.4% of total Medicaid revenue) and ranks #3 of 33 at the 94th percentile, also noted as notably above typical state volume. Together with T1000 and T1002, this confirms a service portfolio that emphasizes both direct nursing care and family/caregiver support services.

Other billed codes such as T1019 ($1.3M, 2.1% of total Medicaid revenue; rank #19 of 84, 78th percentile) and S5125 ($876.2K, 1.5% of total Medicaid revenue; rank #216 of 399, 46th percentile) are present but are modest contributors and described as typical or unremarkable volumes. These secondary codes show some service breadth (personal care and attendant care) but do not materially diversify revenue away from the top three codes.

The provider has an established tenure: NPI enumerated 2009-11-12 (~17 years ago), supporting the interpretation that these utilization patterns reflect a sustained business model rather than a short-term spike. Long tenure combined with the extreme percentile positions on key nursing codes suggests entrenched market share in these Medicaid home- and community-based nursing 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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	120,660	$410	$50M
T1002	Rn services, up to 15 minutes	9,730	$370	$3.6M
T1005	Respite care services, up to 15 minutes	12,880	$250	$3.2M
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…	14,700	$90	$1.3M
S5125	Attendant care services; per 15 minutes	12,700	$70	$876.2K
T1003	Lpn/lvn services, up to 15 minutes	1,790	$250	$453.1K
T1004	Services of a qualified nursing aide, up to 15 minutes	2,620	$80	$196.4K
S5150	Unskilled respite care, not hospice; per 15 minutes	1,630	$60	$93.1K
A4927	Gloves, non-sterile, per 100	40	$60	$2.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Mission Medstaff, LLC — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	2	70	35,680	$400	$16M
S5125	Attendant care services; per 15 minutes	216	400	15,030	$100	$3M
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…	19	80	2,380	$160	$1.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	114	170	4,310	$80	$958.4K
T1005	Respite care services, up to 15 minutes	3	30	1,190	$230	$849.2K
T1004	Services of a qualified nursing aide, up to 15 minutes	6	10	2,620	$100	$608.5K
A4927	Gloves, non-sterile, per 100	141	150	1,490	$30	$389.7K
T1003	Lpn/lvn services, up to 15 minutes	2	10	1,790	$120	$175.3K
T1002	Rn services, up to 15 minutes	1	50	340	$100	$105.8K

Nearby Providers

Other providers in the same ZIP code as Mission Medstaff, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mecklenburg Emergency Medical Services Agency	NC	Land Ambulance	$6.7M	$33.7M
S.t.e.p's Developmental Academy, Inc.	NC	Community/Behavioral Health Agency	$0	$25M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$14M
Mm Home Care, LLC	NC	In Home Supportive Care Agency	$0	$12.4M
Mecklenburg County	NC	Public Health or Welfare Agency	$0	$10.2M
Blake Home Health Care LLC	NC	In Home Supportive Care Agency	$0	$9M
National Seating & Mobility, Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$7.6M
Metrolina Vascular Access Care LLC	NC	Ambulatory Surgical Clinic/Center	$2.1M	$434.7K
Adit Mahale	NC	Nephrology Physician	$197.1K	$0
Chris Fotiadis	NC	Nephrology Physician	$187.9K	$0

Mission Medstaff, LLC — Billing Profile & Reimbursement Data

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Mission Medstaff, 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