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

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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 Ingenuity Inc (NPI 1356409619)

Field	Value
Entity Type	Organization
Organization	Southern Ingenuity Inc
Address	3250 Hwy 79
City	Homer
State	LA
ZIP	71040
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$25.8M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $25.8M in lifetime Medicaid revenue, making its commercial payer exposure effectively irrelevant to the dataset and indicating it operates as a Medicaid-centric provider. Analysts should treat the provider as functionally single-payer (Medicaid) for revenue analysis and network impact assessments.

Revenue is entirely concentrated in attendant-care services: code S5125 (Attendant care services; per 15 minutes) is reported with $25.8M in revenue, representing 100.0% of this provider's total Medicaid revenue. The precomputed top-3 codes share of 100.0% reinforces that the provider’s Medicaid business is narrowly focused on a very small set of service lines.

Operationally, the provider’s taxonomy (Developmentally Disabled Services Day Training Agency) combined with the dominance of S5125 indicates the organization primarily delivers attendant care and minute-based personal support services for individuals with developmental disabilities. This mix suggests day habilitation and in-home attendant care are the core service lines rather than clinical or physician-led interventions.

The S5125 claim profile shows 188.1K claims with an average paid per claim of $137, which reflects high unit counts and significant aggregate throughput for minute-based attendant care. For payers, this pattern implies volume-driven spend where authorization, unit aggregation rules, and per-visit/unit accounting will materially affect total reimbursements.

Competitive standing in-state is strong for this service: the provider ranks #12 of 486 providers for S5125 (98th percentile; notably above typical state volume for this code), signaling it is a major regional supplier of attendant care. Analysts should consider this provider a large-volume peer when modeling network capacity for developmental disability attendant services in Louisiana.

The provider has been enumerated since 2006-12-05 (~20 years ago), indicating long tenure in the Medicaid program and likely operational stability or established referral relationships within the state’s developmental disability service ecosystem. Longevity combined with high volume suggests entrenched billing patterns rather than a recent surge.

The extreme revenue concentration in S5125 creates both programmatic leverage and financial risk: changes to rate-setting, authorization policies, or program rules for attendant care could disproportionately impact this provider’s revenue stream. Payers performing contract negotiations or rate reviews should prioritize understanding unit definitions, bundling rules, and care-delivery settings tied to S5125.

The dataset flags S5125 as "notably above typical state volume for this code," which positions the provider as an outlier on utilization metrics; this merits targeted benchmarking of utilization per enrollees served and closer review of care-delivery models. Continued monitoring and peer comparisons are advised to determine whether high volume reflects population served, capacity, or differences in coding and service documentation.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	188,090	$140	$25.8M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Southern Ingenuity Inc — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	12	490	35,970	$140	$7.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homer Memorial Hospital	LA	General Acute Care Hospital	$0	$5.8M
Ashley Thomas	LA	Family Nurse Practitioner	$25.7K	$420.5K
John Smith	LA	Family Medicine Physician	$102.1K	$0
Ekara Wafer-mendenhall	LA	Nurse Practitioner	$69.1K	$0
Clifton Salmon	LA	Family Medicine Physician	$49.1K	$0
Patrick Clawson	LA	Chiropractor	$32.3K	$0
Harold Tyler	LA	General Practice Physician	$12.4K	$0

Southern Ingenuity Inc — Billing Profile & Reimbursement Data

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Southern Ingenuity 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