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

Why is the Medicaid comparison limited to Mississippi 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. Mississippi (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.

Southern Healthcare Agency, Inc. (NPI 1336338763)

Field	Value
Entity Type	Organization
Organization	Southern Healthcare Agency, Inc.
Address	301 New Pointe
City	Ridgeland
State	MS
ZIP	39157
Taxonomy	Nursing Care Agency
NPI Enumerated	October 22, 2007

Payer Source	Total Paid
Medicaid	$83.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while lifetime Medicaid revenue totals $83.7M, indicating the organization’s commercial footprint in the Medicare program is nil and its operating scale is driven entirely by Medicaid. Analyses of competitive position and service mix should therefore focus on Medicaid activity.

Revenue is highly concentrated in three service lines: the top 3 Medicaid codes (S5125, T1019, T1005) together account for 97.7% of the provider’s total Medicaid revenue. Individually those codes generate $46.5M (55.6%), $20M (23.9%), and $15.2M (18.1%) respectively, so a small set of program lines drive almost all of the $83.7M in Medicaid payments.

The code mix points to a home‑and‑community based attendant/personal care model: S5125 (attendant care services; per 15 minutes), T1019 (personal care services, per 15 minutes), and T1005 (respite care services, up to 15 minutes) dominate revenue, suggesting the agency provides high‑volume, short‑duration personal support and respite services rather than being primarily a skilled home‑health agency. Smaller lines such as S9124 (nursing care, LPN per hour) and S5135 (companion care) appear but contribute only modest shares, consistent with a personal‑care focus supplemented by occasional licensed nursing or companion visits.

For S5125 the provider reports 233.8K claims, $199 avg paid/claim and $46.5M revenue, and it ranks #3 of 18 providers in‑state (88th percentile; typical, unremarkable volume for this code). This indicates a strong statewide presence in attendant care (large absolute revenue and claim count) while the dataset characterizes the volume as typical rather than an extreme outlier.

The provider is the top reported respite care biller for T1005 in the state: 36.6K claims, $414 avg paid/claim and $15.2M revenue, ranking #1 of 6 providers in‑state (100th percentile; typical, unremarkable volume for this code). That #1 rank combined with the code’s 18.1% share of Medicaid revenue signals a dominant position in respite services among the small set of in‑state respite providers.

By contrast, T1019 shows a different competitive posture: 8.5K claims, $2366 avg paid/claim and $20M revenue, but the provider ranks #123 of 171 providers in‑state (28th percentile; typical, unremarkable volume for this code). Despite generating $20M (23.9% of Medicaid revenue) the rank/percentile indicate the provider is a modest participant in the broader in‑state personal‑care market for T1019.

Payment patterns vary substantially across codes: S5125 has a low avg paid/claim ($199) on very high claim volume, T1005 averages $414 paid/claim, T1019 averages $2366 paid/claim, and S9124 averages $4601 paid/claim on only 360 claims ($1.7M revenue, 2.0% of Medicaid). The high avg paid/claim for S9124 and T1019, coupled with low claim counts for S9124 and moderate count for T1019, suggests episodic higher‑value nursing or aggregated billing units for certain personal‑care claims and warrants further billing‑unit inspection.

The provider has long tenure in the NPI file (enumerated 2007-10-22, ~19 years ago), which together with concentrated Medicaid revenue suggests an established, Medicaid‑focused nursing care agency with a sustained operational history in Mississippi’s home‑and‑community services market.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	233,840	$200	$46.5M
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…	8,470	$2,370	$20M
T1005	Respite care services, up to 15 minutes	36,600	$410	$15.2M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	360	$4,600	$1.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	100	$2,790	$276K
T1001	Nursing assessment / evaluation	50	$30	$1.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Southern Healthcare Agency, Inc. — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	3	20	12,350	$340	$31.3M
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…	123	170	29,150	$100	$8.2M
T1005	Respite care services, up to 15 minutes	1	10	7,890	$340	$5M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	8	10	870	$260	$3.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	8	10	220	$350	$1.1M
T1001	Nursing assessment / evaluation	6	10	130	$30	$20.9K

Nearby Providers

Other providers in the same ZIP code as Southern Healthcare Agency, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Villages, Inc.	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$52.4M
Tolley Valerie	MS	Parenteral & Enteral Nutrition Supplies (DME)	$0	$16M
Caring Hands Prescribed Pediatric Extended Care	MS	Medically Fragile Infants and Children Day Care	$0	$11.4M
Bond Pharmacy Inc	MS	Home Infusion Therapy Pharmacy	$680.7K	$10.4M
Jackson Pediatric Associates	MS	Specialist	$0	$6.8M
Homecare Plus, Inc.	MS	Community/Retail Pharmacy	$0	$6.3M
Mea Primary Care Plus LLC	MS	Family Medicine Physician	$0	$4.8M
Pafford Ems Of Mississippi, Inc	MS	Ambulance	$0	$4.3M
Embassy Home Care, LLC	MS	Nursing Care Agency	$0	$3.7M
Integrated Care Professionals Of Mississippi, LLC	MS	Clinical Nurse Specialist	$0	$1.8M

Southern Healthcare Agency, Inc. — Billing Profile & Reimbursement Data

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Southern Healthcare Agency, 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