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

Why is the Medicaid comparison limited to North 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. North 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.

Quality Home Staffing, Inc. (NPI 1316015191)

Field	Value
Entity Type	Organization
Organization	Quality Home Staffing, Inc.
Address	228 Us 13 S Bypass
City	Windsor
State	NC
ZIP	27983
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicaid	$51M
Medicare	$0

Key Findings

QUALITY HOME STAFFING, INC. is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $51M in lifetime Medicaid revenue, indicating its commercial/Medicare exposure is nil while Medicaid activity fully defines its payer profile. This pattern makes Medicaid policy and state program changes the primary revenue drivers for the organization.

Revenue is highly concentrated in a narrow set of services: the precomputed top three Medicaid codes account for 100.0% of this provider’s Medicaid revenue. The largest single line is S5125 ($29.5M, 57.9% of Medicaid revenue), followed by 99509 ($20.7M, 40.6%), with S5150 contributing $738.6K (1.4%).

The code mix signals a core business built around high-volume, in-home personal care and ADL support. S5125 is billed per 15 minutes for attendant care and 99509 covers home visits to assist with ADLs and self-care; together these codes indicate the operation is chiefly an in-home supportive care agency focused on time-based attendant services and repeated ADL visits. S5150’s small share suggests unskilled respite is a minor complementary service.

Claim volumes and unit payments underline the scale and operational model: S5125 shows 254.5K claims at $116 avg paid/claim generating $29.5M, while 99509 records 390.3K claims at $53 avg paid/claim producing $20.7M; S5150 has 7.7K claims at $96 avg paid/claim for $738.6K. These large claim counts—especially in S5125 and 99509—are consistent with a time-based, visit-oriented workflow requiring substantial field staff and scheduling capacity.

On competitive standing within the state, the provider is an outlier and a major market participant for its top two lines: S5125 ranks #3 of 399 providers (99th percentile; extreme outlier) and 99509 ranks #5 of 1450 providers (100th percentile; extreme outlier). By contrast, S5150’s rank (#71 of 168, 58th percentile) is middling and not notable. The rankings indicate statewide dominance for attendant care and ADL visit services but a normal presence for respite.

The provider has an established operating history, with its NPI enumerated on 2006-12-01 (~20 years ago), suggesting long-tenured market presence and likely developed relationships with state Medicaid programs and care coordinators. This tenure aligns with the large cumulative claim volumes observed for its primary codes.

The extreme concentration of Medicaid revenue in two high-volume, time-based codes creates operational sensitivity: changes to reimbursement rates, prior authorization rules, or state guidance for S5125 or 99509 could materially affect overall revenue because the provider’s Medicaid income is dominated by these services. Monitoring policy shifts affecting per-15-minute attendant care and ADL visit rules should be a priority for analysts.

The billing profile implies specific capacity and cost structures—high-frequency, short-interval billing (per 15 minutes) and large numbers of visits suggest a business model dependent on a sizable, likely hourly-paid caregiving workforce and scheduling/transport logistics. Analysts evaluating competitive positioning or contracting should account for workforce and operational scale demands implicit in 254.5K and 390.3K claim volumes for S5125 and 99509, respectively.

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	254,530	$120	$29.5M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	390,340	$50	$20.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	7,690	$100	$738.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Quality Home Staffing, Inc. — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	3	400	15,030	$100	$3M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	5	1,450	23,320	$50	$2.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	71	170	4,310	$80	$958.4K

Nearby Providers

Other providers in the same ZIP code as Quality Home Staffing, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Solid Foundation Facilities, Inc	NC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.5M
Home Life Care Inc	NC	In Home Supportive Care Agency	$0	$12.8M
Bertie Ambulance Service Inc	NC	Land Ambulance	$998.3K	$5.9M
Coastal Medical Transport, Inc	NC	Land Ambulance	$878.7K	$2.5M
County Of Bertie	NC	Land Ambulance	$524.6K	$2.2M
White Oak Medical Transport	NC	Land Ambulance	$519.4K	$1.7M
Phillip Harris	NC	Family Medicine Physician	$32.5K	$0
Kareen Binion-brown	NC	Specialist	$24.8K	$0

Quality Home Staffing, Inc. — Billing Profile & Reimbursement Data

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Quality Home Staffing, 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