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.

Coastal Home Care, LLC (NPI 1285777490)

Field	Value
Entity Type	Organization
Organization	Coastal Home Care, LLC
Address	1149 Cornell Ave Ste A
City	Savannah
State	GA
ZIP	31406
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$57M
Medicare	$0

Key Findings

This provider is effectively single‑payer: COASTAL HOME CARE, LLC has no Medicare billing on file and all documented government revenue is Medicaid‑based, with lifetime Medicaid revenue reported at $57M. The absence of Medicare activity indicates its operations and reimbursement exposure are concentrated entirely in the Medicaid/waiver ecosystem rather than split across federal Medicare programs.

Revenue is extremely concentrated in very few Medicaid codes: the top three Medicaid codes together account for 99.0% of this provider's total Medicaid revenue. Specifically, T2025 accounts for $48.7M (85.4% of total Medicaid revenue), T2017 accounts for $4.7M (8.3%), and T1003 accounts for $3M (5.2%), indicating almost all dollars flow through these three service lines.

The code mix and descriptions point to an operation focused on waiver and direct caregiving services: T2025 (Waiver services, nos) is the dominant revenue driver, supplemented by habilitation residential waiver services (T2017) and LPN/LVN direct care visits (T1003). These codes are consistent with an in‑home supportive care agency that primarily delivers Medicaid waiver program services and associated nursing and residential habilitation supports.

COASTAL HOME CARE is a statewide dominant outlier for its primary code: T2025 ranks #1 of 30 providers in the state, at the 100th percentile and is labeled an "extreme outlier," with 517.8K claims and an average paid per claim of $94 generating $48.7M in revenue. That standing suggests the provider operates at a substantially larger scale for waiver services than typical in‑state peers and is likely a major local source of waiver‑based capacity.

In contrast, the secondary codes show more typical competitive positions: T2017 (18.2K claims, $261 avg paid/claim, $4.7M revenue) ranks #5 of 9 providers in‑state (50th percentile) and is described as a typical, unremarkable volume for that code, while T1003 (10.5K claims, $283 avg paid/claim, $3M revenue) ranks #5 of 20 providers (79th percentile) and likewise reflects expected participation levels rather than market dominance. These rankings imply the provider’s exceptional scale is concentrated on the waiver‑NOS line rather than across multiple distinct service types.

The sheer claim volume for the primary code (517.8K claims for T2025) signals a large operational footprint and frequent, high‑volume service delivery interactions under Medicaid waiver programs. High claim counts combined with moderate per‑claim payments (e.g., $94 avg for T2025) are characteristic of high‑frequency, routine waiver service delivery rather than infrequent, high‑cost interventions.

The provider’s business profile appears exposed to policy or rate shifts in the Medicaid waiver space because a single code (T2025) represents the vast majority of revenue. Heavy reliance on a single service class creates concentration risk to reimbursement changes, program eligibility adjustments, or contractor selection dynamics within Georgia’s waiver programs.

COASTAL HOME CARE, LLC has an established tenure in the market: its NPI was enumerated on 2007-02-15 (~19 years ago), indicating long‑standing participation in Medicaid waiver service delivery and potentially sustained relationships with payers or managed programs over nearly two decades.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	517,750	$90	$48.7M
T2017	Habilitation, residential, waiver; 15 minutes	18,160	$260	$4.7M
T1003	Lpn/lvn services, up to 15 minutes	10,520	$280	$3M
T2028	Specialized supply, not otherwise specified, waiver	3,210	$150	$487.8K
T1002	Rn services, up to 15 minutes	2,360	$40	$89.6K
H2019	Therapeutic behavioral services, per 15 minutes	80	$110	$8.7K
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…	130	$0	$0

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

Coastal Home Care, LLC — 1 of 6 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	5	10	18,160	$180	$18.4M
T2025	Waiver services; not otherwise specified (nos)	1	30	15,890	$130	$7.5M
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…	34	30	17,680	$90	$6.9M
H2019	Therapeutic behavioral services, per 15 minutes	5	10	430	$100	$1.7M
T1003	Lpn/lvn services, up to 15 minutes	5	20	470	$150	$1.1M
T2028	Specialized supply, not otherwise specified, waiver	7	20	2,190	$210	$854K
T1002	Rn services, up to 15 minutes	10	30	640	$50	$162.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uhs Of Savannah LLC	GA	Psychiatric Hospital	$0	$5.5M
Savannah Neurology Specialists P C	GA	Neurology Physician	$0	$3.4M
Savannah Speech And Hearing Center Inc	GA	Audiologist	$0	$1.1M
John Hemphill	GA	Neurology with Special Qualifications in Child Neurology Physician	$847.1K	$0
Georgia Emergency Associates Immediate Care Center	GA	General Practice Physician	$0	$673.4K
St Josephs Candler Urgent Care Centers LLC	GA	Urgent Care Clinic/Center	$0	$673K
Stephen Donahue	GA	Neurology Physician	$533.8K	$0
Kenneth Cail	GA	Diagnostic Radiology Physician	$505.2K	$0
Robert Macgregor	GA	Neurology Physician	$464.3K	$0
Garrett White	GA	Nephrology Physician	$380K	$0

Coastal Home Care, LLC — Billing Profile & Reimbursement Data

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Coastal 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