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

Why is the Medicaid comparison limited to South 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. South 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.

Nightingale's Nursing & Attendant Care Services, Inc. (NPI 1295887560)

Field	Value
Entity Type	Organization
Organization	Nightingale's Nursing & Attendant Care Services, Inc.
Address	216 Dozier Blvd
City	Florence
State	SC
ZIP	29501
Taxonomy	Home Health Agency
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicaid	$90M
Medicare	$0

Key Findings

This provider is effectively single-payer in its footprint: there is no Medicare billing on file while lifetime Medicaid revenue is $90M, indicating the organization operates almost entirely within Medicaid-funded home- and community-based services. Analysts should treat Medicaid reimbursement policy and state waiver rules as the primary drivers of this entity’s financial performance and contracting opportunities.

Revenue is highly concentrated in a very small set of Medicaid procedure codes: the precomputed top 3 codes account for 76.3% of the provider’s Medicaid revenue, led by T1019 at $54.1M (60.1% of Medicaid revenue), followed by S5130 at $7.5M (8.4%) and T1003 at $7M (7.8%). This degree of concentration means changes to reimbursement or audit focus on these specific codes would materially affect the provider’s topline.

The code mix reflects a business model focused on in-home personal care and attendant services rather than a skilled-home-health model: T1019 (personal care services, per 15 minutes), S5130 (homemaker service, per 15 minutes) and T1003 (LPN/LVN services, up to 15 minutes) together drive the majority of revenue. Supporting codes such as S5125 (attendant care) and T1005 (respite care) further signal an operational emphasis on high-volume, short-interval personal/attendant care visits rather than long-duration skilled nursing episodes.

This organization is a dominant statewide provider for multiple high-revenue codes: T1019 ranks #1 of 97 providers in-state and is described as an extreme outlier, S5130 ranks #1 of 78 providers (extreme outlier), and T1003 ranks #1 of 41 providers (extreme outlier). Those top-of-market positions and 100th-percentile standing indicate the provider is far above typical state volume for its core services and is a major competitor for Medicaid personal-care capacity.

Several additional codes show notable above-average volumes or top ranks that reinforce the provider’s scale in non-skilled home services: S5125 generated $5.5M and ranks #1 of 7 providers (100th percentile; notably above typical state volume), X0241 produced $3.9M and ranks #1 of 7 providers (100th percentile; notably above typical state volume), and S5135 accounted for $806.1K and ranks #1 of 18 providers (100th percentile; extreme outlier). These secondary strengths suggest breadth across multiple personal-care and companion service lines in addition to the primary revenue drivers.

By contrast, some nursing-service codes are not dominant: T1002 (RN services, up to 15 minutes) produced $4M and ranks #29 of 102 providers in-state and is characterized as typical/unremarkable for state volume, while S9124 and S9123 (nursing care in the home by LPN and RN hourly) together represent smaller shares ($2.1M and $1.3M respectively) even though they rank #1 of 2 providers in-state and are described as typical volumes for those codes. This suggests the provider’s clinical nursing footprint is present but not the primary revenue engine relative to personal-care services.

The provider’s NPI was enumerated on 2007-01-17 (~19 years ago), indicating long tenure in the market and likely established relationships with state Medicaid payers and local referral sources. That longevity, combined with top-state rankings on core codes, points to durable operational scale within the Medicaid home-care sector.

For payers and network planners, the combination of a $90M Medicaid-only revenue base and a 76.3% concentration in three codes implies both opportunity and sensitivity: the provider is an attractive, high-capacity partner for Medicaid personal-care programs but its financials are highly sensitive to reimbursement changes, program edits, or authorization policies affecting T1019, S5130, and T1003. Contracting or utilization-management strategies should therefore focus on those three procedure lines and on oversight of high-frequency, short-interval service deliveries.

Medicaid: Complete Services Breakdown

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

11 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…	872,250	$60	$54.1M
S5130	Homemaker service, nos; per 15 minutes	417,680	$20	$7.5M
T1003	Lpn/lvn services, up to 15 minutes	27,230	$260	$7M
S5125	Attendant care services; per 15 minutes	39,830	$140	$5.5M
T1002	Rn services, up to 15 minutes	12,850	$310	$4M
X0241	N/A	34,010	$120	$3.9M
T1005	Respite care services, up to 15 minutes	39,920	$70	$2.8M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	9,710	$210	$2.1M
S9123	Nursing 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)	3,830	$350	$1.3M
X6985	N/A	20,910	$50	$982.6K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Nightingale's Nursing & Attendant Care Services, Inc. — 9 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

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

11 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…	1	100	33,410	$70	$4.6M
S5125	Attendant care services; per 15 minutes	1	10	11,890	$140	$1.9M
X0241	N/A	1	10	9,550	$110	$1.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1	10	5,170	$210	$1.1M
T1005	Respite care services, up to 15 minutes	2	20	4,860	$90	$892.9K
S9123	Nursing 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)	1	10	2,590	$320	$822K
S5130	Homemaker service, nos; per 15 minutes	1	80	27,870	$20	$816K
T1002	Rn services, up to 15 minutes	29	100	5,080	$60	$611.2K
X6985	N/A	2	10	5,180	$50	$448.7K
T1003	Lpn/lvn services, up to 15 minutes	1	40	1,440	$110	$417K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Nightingale's Nursing & Attendant Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florence Ck, LLC	SC	Home Health Agency	$0	$13.3M
Lifehme, Inc.	SC	Oxygen Equipment & Supplies (DME)	$0	$12M
Hopehealth, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$11.1M
Advanced Healthcare Staffing Solutions, LLC	SC	Home Health Agency	$0	$11M
Irby Street Dental Health Center, P.C.	SC	General Practice Dentistry	$0	$10.5M
Tender Care Home Health Care LLC	SC	Home Health Agency	$0	$8.1M
Active Sc One, Inc.	SC	Adult Day Care Clinic/Center	$0	$5.2M
Starting Point Of Florence, Inc	SC	Substance Use Disorder Rehabilitation Clinic/Center	$181.2K	$4.6M
Florence County Commission On Alcohol And Dru	SC	Substance Abuse Rehabilitation Facility	$0	$4.5M
Wellspring Psychology Group LLC	SC	Clinical Psychologist	$0	$4.2M

Nightingale's Nursing & Attendant 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