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

Why is the Medicaid comparison limited to South Dakota 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 Dakota (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.

Universal Nursing Services, Ltd (NPI 1336594753)

Field	Value
Entity Type	Organization
Organization	Universal Nursing Services, Ltd
Address	4300 S Technology Dr
City	Sioux Falls
State	SD
ZIP	57106
Taxonomy	Home Health Agency
NPI Enumerated	May 4, 2016

Payer Source	Total Paid
Medicaid	$33.2M
Medicare	$0

Key Findings

This provider operates effectively as a Medicaid-focused home health agency: there is no Medicare billing on file and the provider reports $33.2M in total Medicaid revenue, indicating an exclusively Medicaid-funded billings footprint in the available data. The absence of Medicare claims means analysts should treat this entity as single‑payer (Medicaid) for publicly visible billings.

Revenue is highly concentrated in a very narrow service set: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and the two listed codes S9123 and S9124 together represent the full reported Medicaid revenue. S9123 alone accounts for $23.5M (70.8%) and S9124 for $9.7M (29.2%) of the $33.2M total, so nearly all Medicaid receipts derive from in‑home nursing hour codes.

The code mix and descriptions identify this operation as an in‑home nursing service provider: S9123 (nursing care in the home by registered nurse, per hour) and S9124 (nursing care in the home by licensed practical nurse, per hour) show the business is built on hourly general nursing visits rather than procedure- or device-driven billing. That pattern suggests staffing, scheduling, and field nursing capacity are the core operational drivers of revenue.

Operational scale by claim count and unit payment shows substantial volume and above‑typical per‑claim payments for in‑home nursing: S9123 recorded 16.2K claims with a $1450 avg paid/claim, and S9124 recorded 9.4K claims with a $1035 avg paid/claim. The larger claim count and higher per‑claim payment for S9123 indicate RN‑delivered care is both the higher‑paid and higher‑utilized component of the business.

Competitive standing in state market: the provider ranks #1 of 2 providers in‑state for both S9123 and S9124 and is at the 100th percentile in that peer set, signaling a dominant position among the very small set of in‑state Medicaid billers for these codes. At the same time, the dataset characterizes the volume for these codes as "typical, unremarkable volume for this code," which suggests top state rank reflects limited competition more than extreme utilization relative to broader benchmarks.

Tenure is measurable and relevant for trend interpretation: the NPI was enumerated on 2016-05-04 (~10 years ago), so the entity has maintained an active billing presence for roughly a decade, during which it accumulated $33.2M in Medicaid revenue concentrated in home nursing services. This longevity supports viewing the provider as an established local operator rather than a short‑lived entrant.

From a strategic and reimbursement-sensitivity perspective, the provider is exposed to shifts in nursing‑hour reimbursement or utilization policy: because S9123 and S9124 together drive essentially all Medicaid revenue (100.0% concentrated among top codes), any change to payment rates or utilization rules for those codes would have a material impact on the provider's revenue base. Analysts should prioritize monitoring policy, rate updates, and program audits related to in‑home nursing codes.

The small number of in‑state peers (two providers) combined with the provider's #1 position implies local market concentration for Medicaid-funded in‑home nursing, which could affect network access and contracting dynamics for payers; however, the characterization of volumes as "typical, unremarkable" cautions that dominance may be a function of a sparse provider market rather than unusually high per‑provider utilization.

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
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)	16,210	$1,450	$23.5M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	9,370	$1,040	$9.7M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Universal Nursing Services, Ltd — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	10,620	$1,260	$13.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1	10	5,300	$980	$5.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independent Living Choices	SD	Home Health Agency	$0	$13M
Edgewood Prairie Crossings Sioux Falls	SD	Assisted Living Facility	$0	$1.8M
Children's Care Hospital And School	SD	Rehabilitation Hospital	$0	$1.8M
Kore Cares, LLC	SD	Home Health Agency	$0	$1.3M
Weber Home Care Services LLC	SD	Home Health Agency	$0	$1.3M
Stronghold Counseling Services Inc	SD	Counselor	$0	$1.1M
Avera Mckennan	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Gpps LLC	SD	Multi-Specialty Clinic/Center	$0	$836.4K
North Central Eye, Inc.	SD	Clinic/Center	$0	$764.5K
Insight Eye Care Professionals, P.C.	SD	Optometrist	$0	$638.4K

Universal Nursing Services, Ltd — Billing Profile & Reimbursement Data

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Universal Nursing Services, Ltd — 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