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

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

Gracon, Inc. (NPI 1366452633)

Field	Value
Entity Type	Organization
Organization	Gracon, Inc.
Address	358 Highway 5 N
City	Mountain Home
State	AR
ZIP	72653
Taxonomy	Home Health Agency
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicaid	$23.1M
Medicare	$0

Key Findings

GRACON, INC. is effectively a Medicaid-centric home health agency: lifetime Medicare revenue is listed as none while lifetime Medicaid revenue is $23.1M, so all billed activity on file is through Medicaid and the provider operates as a single-payer (Medicaid) provider in practice. This concentration means its financial and contracting exposure is driven entirely by state Medicaid policy and reimbursement.

Revenue is extremely concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 99.9% of the provider's total Medicaid revenue, with S9124 and S9123 accounting for the overwhelming share of dollars. That concentration indicates that a narrow service mix — primarily in-home nursing care — drives the business rather than a broad portfolio of home- and personal-care lines.

The top two codes, S9124 and S9123, are in-home nursing care billed by licensed practical nurse and registered nurse per hour, respectively, and together represent the principal service lines for GRACON. Each has high average paid/claim values ($3417 avg paid/claim for S9124 and $2771 avg paid/claim for S9123), which is consistent with per-hour skilled nursing billing and suggests claims represent substantive nursing time or bundled hourly units.

On competitive standing for those core services, GRACON ranks #2 of 4 providers in-state on both S9124 and S9123 and is at the 67th percentile for each, which the data labels as typical, unremarkable volume for this code. That positioning indicates GRACON is a visible but not dominant statewide competitor for in-home nursing hours — it participates meaningfully in the market but does not lead it.

Lower-revenue codes such as T1019 and T1017 make up a very small share of revenue and reflect different service types: T1019 (personal care services per 15 minutes) produced $283.1K (1.2% of revenue) across 7.1K claims at a $40 avg paid/claim and ranks #90 of 139 in-state (36th percentile), described as typical, unremarkable volume for this code; T1017 (targeted case management) produced $28K (0.1% of revenue) and ranks #42 of 91 (54th percentile). These patterns show GRACON provides some personal care and case management but at modest scale relative to its nursing services.

Operational footprint inferred from claim counts shows comparable utilization between RN and LPN hourly nursing: S9123 has 3.7K claims and S9124 has 3.6K claims, implying both RN and LPN services are deployed at scale and likely form the backbone of daily operations. That near-parity in claim counts, paired with the high per-claim payments, suggests a staffing mix that utilizes both clinician types regularly rather than relying exclusively on aides or paraprofessionals.

GRACON's NPI was enumerated on 2006-08-09 (~20 years ago), indicating a long-tenured presence in the market; this duration supports an established operational history in the state Medicaid program and may reflect mature relationships with state payers and referral sources.

From a payer- and risk-management perspective, GRACON faces concentrated exposure: with $23.1M all in Medicaid and 99.9% of that revenue coming from the top three Medicaid codes, any material change to Medicaid rates, prior authorization rules, or service definitions for in-home nursing could have an outsized impact on its revenue. Analysts should treat state Medicaid policy and competitive moves by the small set of in-state peers as the primary drivers of future performance.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	3,640	$3,420	$12.4M
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)	3,730	$2,770	$10.3M
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…	7,080	$40	$283.1K
T1017	Targeted case management, each 15 minutes	2,340	$10	$28K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Gracon, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

4 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)	2	10	2,630	$2,310	$6.8M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2	10	2,020	$1,950	$5.4M
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…	90	140	18,150	$60	$2.5M
T1017	Targeted case management, each 15 minutes	42	90	1,830	$20	$206.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kidspiration Pediatric Therapy Services, Inc.	AR	Primary Care Clinic/Center	$0	$16.5M
Baxter County Regional Hospital, Inc	AR	General Acute Care Hospital	$0	$15.2M
Developmental Discoveries, Inc.	AR	In Home Supportive Care Agency	$0	$8M
River Lodge Assisted Living LLC	AR	Assisted Living Facility	$0	$5.1M
Bradley Wayne Coleman,d.d.s.	AR	Dentist	$0	$3.6M
Hometown Behavioral Health Services Of Ak Inc.	AR	Mental Health Counselor	$0	$3.5M
Baxter Day Service Center, Inc.	AR	Preferred Provider Organization	$0	$3.4M
Baxter County Regional Hospital Inc	AR	General Acute Care Hospital	$0	$3M
Twin River Community Living Facility	AR	In Home Supportive Care Agency	$0	$2.5M
Richard White	AR	Hematology & Oncology Physician	$2.2M	$0

Gracon, Inc. — Billing Profile & Reimbursement Data

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Gracon, 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