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    OpenPayerNPI Medicare & MedicaidStatewide Healthcare Services, Inc
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    Statewide Healthcare Services, Inc — Billing Profile & Reimbursement Data

    NPI 1245368521 · Jackson, MS · Nursing Care Agency

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    Statewide Healthcare Services, Inc is a nursing care agency provider located in Jackson, Mississippi. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationStatewide Healthcare Services, Inc
    Address3828 I-55 North
    CityJackson
    StateMS
    ZIP39211
    TaxonomyNursing Care Agency
    NPI EnumeratedMarch 1, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$67.2M
    Medicare$0

    Key Findings

    This entity is effectively a home nursing agency: its top revenue drivers are S9123 (Nursing care, in the home; by registered nurse, per hour) and S9124 (Nursing care, in the home; by licensed practical nurse, per hour). S9123 generated 74.6K claims at $546 avg paid/claim for $40.7M in revenue, and S9124 generated 128.2K claims at $206 avg paid/claim for $26.4M in revenue, which together represent the operational focus on in-home RN and LPN hours.

    Revenue is highly concentrated across a very small set of codes: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. Specifically, S9123 accounts for $40.7M (60.6% of Medicaid revenue), S9124 accounts for $26.4M (39.3% of Medicaid revenue), and T1001 accounts for $65.6K (0.1% of Medicaid revenue).

    The provider is effectively single-payer in scope: there is no Medicare billing on file while lifetime Medicaid revenue totals $67.2M. The absence of Medicare activity means the organization’s business and reimbursement exposure is concentrated in Medicaid reimbursement rules and rates.

    State-level competitive standing is dominant for core home nursing codes: the provider ranks #1 of 17 for S9123 at the 100th percentile and is described as an "extreme outlier, far above typical state volume for this code." It also ranks #1 of 11 for S9124 at the 100th percentile and is described as "notably above typical state volume," indicating this entity is a leading provider of in-home RN and LPN nursing services in Mississippi.

    Operational mix and unit economics are visible in the code-level pricing: S9123 pays $546 avg per claim while S9124 pays $206 avg per claim, implying RN hours are reimbursed at materially higher rates than LPN hours. Despite the higher per-claim payment for S9123, claim counts are larger for S9124 (128.2K claims vs 74.6K claims), which suggests a workforce or visit-intensity mix that relies heavily on LPN-delivered hours in volume.

    Smaller codes show minimal revenue impact but distinct reporting patterns: T1001 (Nursing assessment / evaluation) produced 2.3K claims at $29 avg paid/claim for $65.6K in revenue and ranks #1 of 9 in-state (100th percentile; notably above typical state volume), indicating the provider also bills assessment services at scale relative to peers. By contrast, T1019 appears in the record with 321 claims but $0 avg paid/claim and $0 revenue and ranks #160 of 171 (6th percentile), suggesting these personal-care codes are either non-reimbursed or used only nominally by this agency.

    The provider has long-standing enrollment in the NPI system, enumerated on 2007-03-01 (~19 years ago), which indicates an established presence in the market and potential operational continuity supporting the large Medicaid volumes reported.

    Taken together, the pattern—$67.2M in Medicaid revenue, no Medicare billing on file, extreme high-volume rankings for S9123 and S9124, and the top-3 codes accounting for 100.0% of Medicaid revenue—paints a profile of a specialized, Medicaid-focused home nursing operator with dominant in-state market share for hourly RN and LPN home care services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)74,570$550$40.7M
    S9124Nursing care, in the home; by licensed practical nurse, per hour128,240$210$26.4M
    T1001Nursing assessment / evaluation2,260$30$65.6K
    T1019Personal 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…320$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…16017029,150$100$8.2M
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)1205,690$500$4.9M
    S9124Nursing care, in the home; by licensed practical nurse, per hour110870$260$3.7M
    T1001Nursing assessment / evaluation110130$30$20.9K

    Nearby Providers

    Other providers in the same ZIP code as Statewide Healthcare Services, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Statewide Healthcare Services, IncMSHome Health Agency$0$145.2M
    Statewide Healthcare Services, IncMSHome Health Agency$0$97.6M
    Statewide Healthcare Services, IncMSNursing Care Agency$0$17.2M
    Pleasant Living Care CoordinationMSHomemaker$0$15.7M
    Statewide Healthcare Services, IncMSNursing Care Agency$0$9.4M
    Isluv RobertsonMSRegistered Nurse$0$3.7M
    Statewide Healthcare Services, IncMSCommunity/Behavioral Health Agency$0$1.9M
    Ridgewood Clinics PAMSMental Health Counselor$0$1.7M
    John WilkaitisMSChild & Adolescent Psychiatry Physician$22.2K$1.4M
    Krishan GuptaMSPsychiatry Physician$22.9K$300.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Statewide Healthcare Services, Inc — 3 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi