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.

Professional Nursing Services, Inc. (NPI 1306804893)

Field	Value
Entity Type	Organization
Organization	Professional Nursing Services, Inc.
Address	115 W Fairlee St
City	Marion
State	SC
ZIP	29571
Taxonomy	Community Health Registered Nurse
NPI Enumerated	May 3, 2006

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 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…	49,830	$40	$1.9M
S5130	Homemaker service, nos; per 15 minutes	36,070	$20	$541K

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

Professional Nursing Services, Inc. — 0 of 2 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

2 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…	39	100	33,410	$70	$4.6M
S5130	Homemaker service, nos; per 15 minutes	31	80	27,870	$20	$816K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marion-dillon County Board Of Disabilities And Special Needs	SC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$19.4M
Health Care Partners Of South Carolina, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$3.7M
Marion County School District	SC	Local Education Agency (LEA)	$0	$2.7M
Optimal Behavioral And Management Group, LLC	SC	Community/Behavioral Health Agency	$0	$2.6M
County Of Marion	SC	Ambulance	$282.4K	$967.5K
Precise Care Transport Inc	SC	Land Ambulance	$632.2K	$0
Michael Kamanda	SC	Internal Medicine Physician	$172.4K	$0
Melissa Herrington	SC	Gerontology Nurse Practitioner	$56.5K	$0
Aimee Martin	SC	Family Nurse Practitioner	$42.3K	$0

Professional Nursing Services, Inc. — Billing Profile & Reimbursement Data

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Professional Nursing Services, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References