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.

Dakota Solace Home Care (NPI 1346624574)

Field	Value
Entity Type	Organization
Organization	Dakota Solace Home Care
Address	211 E Havens Ave
City	Mitchell
State	SD
ZIP	57301
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	July 17, 2015

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Key Findings

DAKOTA SOLACE HOME CARE is effectively a single-payer Medicaid provider with no Medicare billing on file and $4.9M in lifetime Medicaid revenue; the absence of Medicare activity indicates its business is concentrated entirely in state Medicaid programs rather than dual Medicare/Medicaid lines. The provider's NPI was enumerated on 2015-07-17 (~11 years ago), so this operating footprint reflects roughly a decade of Medicaid-only billing history.

Revenue concentration is extremely high: the top three Medicaid codes (T1019, S5130, S5135) together account for 100.0% of this provider's total Medicaid revenue, with T1019 accounting for $2.7M (54.6%), S5130 $1.8M (36.9%), and S5135 $414.8K (8.5%). This concentration signals that the business’s financial performance depends almost entirely on a narrow set of personal care and homemaker service lines.

The code mix (T1019, S5130, S5135) indicates an operation focused on labor‑intensive, non‑medical in‑home supportive services: T1019 is personal care services per 15 minutes, S5130 is homemaker service per 15 minutes, and S5135 is companion care per 15 minutes. High claim counts for time-based personal care and homemaker codes (14.5K claims and 16.7K claims, respectively) are consistent with a high-frequency, per‑15‑minute delivery model that relies on many short units of care.

Competitive standing in-state is mixed by service line: for T1019 this provider ranks #7 of 33 in the state (81th percentile), and for S5130 it ranks #6 of 48 (89th percentile), indicating a relatively strong presence in personal care and homemaker services compared with peers. By contrast, S5135 ranks #17 of 21 (20th percentile), showing a modest or below-average position for companion care despite that code representing 8.5% of revenue.

Unit-level economics vary across its top codes: T1019 shows 14.5K claims at $184 avg paid/claim yielding $2.7M in revenue, while S5130 shows 16.7K claims at $108 avg paid/claim yielding $1.8M. S5135 is much lower volume (896 claims) but a higher avg paid/claim ($463), producing $414.8K; this suggests companion-care encounters are higher‑paid per claim but do not drive overall revenue due to low claim volume.

Although T1019 and S5130 are placed in relatively high state percentiles, the precomputed statistical label for all three top codes is "typical, unremarkable volume for this code," so the provider’s volumes, while meaningful for its market position, are not characterized as extreme outliers in the statewide distribution. Analysts should reconcile the percentile ranks with the supplied label when assessing whether these volumes represent common program-scale operations or localized market strength.

Operational risk is concentrated: because 100.0% of Medicaid revenue is tied to three time‑based personal/caregiver codes, policy changes, rate adjustments, or utilization shifts affecting personal care or homemaker services could materially impact the provider’s revenue. The mix suggests workforce and scheduling dynamics (many short units billed per 15 minutes) are likely core operational levers for revenue management.

From a payer perspective, DAKOTA SOLACE HOME CARE is a specialized in‑home supportive care agency with a decade-long Medicaid billing history and clear strengths in personal care and homemaker services; its state-ranking in those codes supports its recognition as a meaningful, though not dominant, regional provider, while its single‑payer dependency and narrow service-dollar concentration should be monitored for reimbursement or utilization risk.

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
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…	14,480	$180	$2.7M
S5130	Homemaker service, nos; per 15 minutes	16,670	$110	$1.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	900	$460	$414.8K

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

Dakota Solace Home Care — 0 of 3 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

3 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…	7	30	6,050	$80	$894.1K
S5130	Homemaker service, nos; per 15 minutes	6	50	5,130	$70	$607.5K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	17	20	2,520	$110	$518.5K

Nearby Providers

Other providers in the same ZIP code as Dakota Solace Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifequest	SD	Developmentally Disabled Services Day Training Agency	$0	$53.1M
Abbott House, Inc.	SD	Psychiatric Residential Treatment Facility	$0	$28.1M
Lifequest	SD	Case Manager/Care Coordinator	$0	$13.2M
Dakota Counseling Institute, Inc.	SD	Mental Health Counselor	$0	$9.7M
Rural Health Care, Inc	SD	Federally Qualified Health Center (FQHC)	$0	$4.4M
Rosewood Court	SD	Assisted Living Facility	$0	$2.7M
Avera Queen Of Peace	SD	Critical Access Hospital	$0	$1.3M
Sanford Clinic	SD	Obstetrics & Gynecology Physician	$0	$1.2M
Dpt Inc	SD	Home Health Agency	$0	$835.1K
Avera Queen Of Peace	SD	Rural Acute Care Hospital	$0	$803.8K

Dakota Solace Home Care — Billing Profile & Reimbursement Data

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Dakota Solace Home Care — 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