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.

Heart Of The Carolinas Medical Supply, LLC (NPI 1326373010)

Field	Value
Entity Type	Organization
Organization	Heart Of The Carolinas Medical Supply, LLC
Address	511 West Butler Road Suite E
City	Greenville
State	SC
ZIP	29607
Taxonomy	Nursing Care Agency
NPI Enumerated	October 13, 2009

Payer Source	Total Paid
Medicaid	$36.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all reported federal program revenue is from Medicaid, which totals $36.4M. The absence of any Medicare revenue on record indicates the organization’s commercial footprint is concentrated entirely in Medicaid-funded long‑term services and supports.

Revenue is extremely concentrated in a handful of service lines: the precomputed top three Medicaid codes account for 93.2% of this provider’s total Medicaid revenue. Specifically, T1019 accounts for $24.6M (67.6% of Medicaid revenue), S5130 for $6.1M (16.8%), and S5125 for $3.2M (8.8%), highlighting a narrow revenue base tied to a small set of codes.

The code mix (T1019, S5130, S5125) and their descriptions indicate this operation is primarily a home‑ and community‑based personal care agency offering personal care services, homemaker services, and attendant care delivered in short units (many billed per 15 minutes). Additional billed services (T1005, S5135, S9124, X0241) suggest the provider also offers respite, companion care, and some in‑home licensed nursing, but these are much smaller revenue contributors.

Operationally the business appears to run a high‑volume, low‑unit‑rate model: T1019 shows 423.7K claims at an average paid/claim of $58 and S5130 shows 278K claims at $22 avg paid/claim, while S5125 is lower volume (21.3K claims) with a higher avg paid/claim of $150. This mix is consistent with intensive delivery of short‑interval personal care and homemaker visits rather than episodic high‑cost procedures.

Competitive standing in‑state is strong on the provider’s top lines: T1019 ranks #3 of 97 providers in South Carolina and sits in the 98th percentile, described as notably above typical state volume for this code, while S5130 ranks #2 of 78 providers and is labeled an extreme outlier (99th percentile), indicating market dominance for homemaker services. By contrast, S5125 ranks #2 of 7 providers (83th percentile) and is described as typical/unremarkable for that code, so the provider’s dominance is concentrated in a subset of services.

The provider has a long tenure in the NPI system, enumerated on 2009-10-13 (~17 years ago), which suggests an established presence in the state Medicaid market and potential operational scale to support the large claim volumes reported. Longevity combined with concentrated service lines implies institutional experience in delivering home‑based long‑term supports.

Smaller revenue lines form a thin tail: X0241 contributes $1.7M (4.7% of Medicaid revenue) with 14.9K claims, T1005 contributes $578.6K (1.6%) with 4.9K claims, and S5135 and S9124 contribute $97.3K (0.3%) and $80K (0.2%) respectively. These secondary codes are mostly ranked in middle or low percentiles in‑state (e.g., T1005 ranks #11 of 23, 55th percentile), indicating the provider’s business is not materially diversified beyond its top personal care and homemaker lines.

From a payer and operational risk perspective, the combination of absolute dependence on Medicaid ($36.4M vs. no Medicare revenue) and extreme revenue concentration (93.2% from top three codes) makes the provider highly sensitive to state Medicaid policy changes, reimbursement rate adjustments, or eligibility shifts for the primary codes (T1019 and S5130). Analysts should treat this profile as a concentrated Medicaid personal‑care operator with significant exposure to in‑state reimbursement dynamics.

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
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…	423,680	$60	$24.6M
S5130	Homemaker service, nos; per 15 minutes	277,970	$20	$6.1M
S5125	Attendant care services; per 15 minutes	21,330	$150	$3.2M
X0241	N/A	14,900	$120	$1.7M
T1005	Respite care services, up to 15 minutes	4,900	$120	$578.6K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	4,870	$20	$97.3K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	630	$130	$80K

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

Heart Of The Carolinas Medical Supply, LLC — 2 of 7 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

7 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…	3	100	33,410	$70	$4.6M
S5125	Attendant care services; per 15 minutes	2	10	11,890	$140	$1.9M
X0241	N/A	2	10	9,550	$110	$1.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2	10	5,170	$210	$1.1M
T1005	Respite care services, up to 15 minutes	11	20	4,860	$90	$892.9K
S5130	Homemaker service, nos; per 15 minutes	2	80	27,870	$20	$816K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	12	20	6,100	$20	$164.8K

Nearby Providers

Other providers in the same ZIP code as Heart Of The Carolinas Medical Supply, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health University Medical Group	SC	Family Medicine Physician	$0	$171.7M
Greenville County Disabilities And Special Needs Board	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$51.7M
Caris Healthcare LLC	SC	Community Based Hospice Care Agency	$0	$36.3M
Greenville County Commission On Alcohol And Drug Abuse	SC	Substance Use Disorder Rehabilitation Clinic/Center	$0	$12.7M
St. Francis Hospital Inc	SC	General Acute Care Hospital	$0	$9M
Tribe513, P.A.	SC	Pediatric Adolescent Medicine Physician	$0	$8.6M
Luxor Scientific, LLC	SC	Clinical Medical Laboratory	$2.2M	$5.6M
Pleasantburg Drive Dental Health Center, P.C.	SC	General Practice Dentistry	$0	$6.5M
Inspirium Ihc Upstate, LLC	SC	Home Health Agency	$0	$6.4M
Bon Secours Ambulatory Services - St. Francis, LLC	SC	Urgent Care Clinic/Center	$0	$6.4M

Heart Of The Carolinas Medical Supply, LLC — Billing Profile & Reimbursement Data

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Heart Of The Carolinas Medical Supply, 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