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.

Sitters Etc., Inc. (NPI 1285861138)

Field	Value
Entity Type	Organization
Organization	Sitters Etc., Inc.
Address	278 Franklin Rd
City	Brentwood
State	TN
ZIP	37027
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	June 18, 2009

Payer Source	Total Paid
Medicaid	$29.6M
Medicare	$0

Key Findings

SITTERS ETC., INC. reports no Medicare billing on file and $29.6M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid operation in the available data. The absence of Medicare activity means competitive and service-line analysis should focus on Medicaid codes and state-level positioning rather than any Medicare market presence.

Revenue is highly concentrated in a short-interval, hands-on care model: the top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue, indicating almost all revenue is driven by per-15-minute personal and attendant care services rather than episodic medical or ancillary services. This concentration suggests the business model is built around high-volume, time-based caregiving rather than a diversified set of clinical billables.

S5125 dominates the payer mix, generating $19.3M and representing 65.2% of the provider's Medicaid revenue with 141.9K claims and an average paid per claim of $136. SITTERS ETC. ranks #7 of 155 in-state for S5125 (96th percentile), which the data labels as "notably above typical state volume," signaling the organization is a major regional provider for attendant care services billed in 15-minute increments.

T1019 is the second revenue driver with $9M (30.4% of Medicaid revenue), 130.5K claims, and an average paid per claim of $69. The provider ranks #15 of 208 in-state for T1019 (93th percentile) and the data characterizes this volume as "typical, unremarkable," indicating strength in personal care volumes but not the same standout dominance as with S5125.

S5150 contributes $1.3M (4.4% of Medicaid revenue) from 15.3K claims at an average paid per claim of $85 and ranks #8 of 105 in-state (93th percentile). This placement is also described as "typical, unremarkable," suggesting SITTERS ETC. offers respite care as a meaningful but secondary service line rather than a primary revenue driver.

The code mix—S5125 (attendant care per 15 minutes), T1019 (personal care per 15 minutes), and S5150 (unskilled respite per 15 minutes)—paints a clear picture of an in-home supportive care agency focused on labor-intensive, short-interval caregiving. High claim counts for S5125 and T1019 imply operations organized around frequent, brief visits and a staffing model oriented to personal/attendant services rather than clinical home health or skilled nursing.

From a competitive standpoint, SITTERS ETC. is a major state-level provider for attendant care (S5125) given its 96th percentile rank, while its positions on T1019 and S5150 (both 93th percentile) reflect strong but more typical participation in personal care and respite services statewide. Analysts should treat the provider as a significant regional player in attendant and personal care markets, particularly where per-15-minute billing predominates.

The provider's NPI was enumerated on 2009-06-18 (~17 years ago), indicating a long operational tenure that aligns with the large cumulative Medicaid claim volumes observed. This longevity, combined with concentrated Medicaid revenue, suggests an established business focused on sustaining high-volume, time-based in-home caregiving services rather than expanding into Medicare or diversified payer lines.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	141,870	$140	$19.3M
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…	130,460	$70	$9M
S5150	Unskilled respite care, not hospice; per 15 minutes	15,310	$90	$1.3M

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

Sitters Etc., Inc. — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	7	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…	15	210	10,880	$90	$3.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	8	110	1,370	$60	$264K

Nearby Providers

Other providers in the same ZIP code as Sitters Etc., Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Senior Solutions At Home, Inc.	TN	In Home Supportive Care Agency	$0	$58.4M
App Of Indiana Ed, PLLC	TN	Emergency Medicine Physician	$0	$26.1M
Maxim Healthcare Services, Inc.	TN	Home Health Agency	$0	$22.2M
Easter Seals Tennessee	TN	Community/Behavioral Health Agency	$0	$12.3M
Accupath Diagnostic Laboratories Inc	TN	Clinical Medical Laboratory	$4.4M	$5.4M
Carr PLLC	TN	Emergency Medicine Physician	$0	$9M
Tn Specialty Dental Services, PLLC	TN	Pediatric Dentistry	$0	$8.7M
Verus Healthcare, LLC	TN	Durable Medical Equipment & Medical Supplies	$0	$7.6M
National Addiction Specialists LLC	TN	Addiction Medicine (Internal Medicine) Physician	$0	$6.3M
Brentwood Dental Specialists	TN	Pediatric Dentistry	$0	$4.9M

Sitters Etc., Inc. — Billing Profile & Reimbursement Data

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Sitters Etc., 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