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

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

Specialized Home Nursing, Inc. (NPI 1376655670)

Field	Value
Entity Type	Organization
Organization	Specialized Home Nursing, Inc.
Address	7125 S Braden Ave
City	Tulsa
State	OK
ZIP	74136
Taxonomy	Home Health Agency
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$21.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all recorded lifetime revenue is Medicaid only, totaling $21.5M. The absence of Medicare activity indicates the provider’s public reimbursement exposure and competitive analysis should focus on Medicaid programs and in‑state dynamics.

Revenue concentration is extreme: the precomputed top‑3 codes account for 100.0% of this provider’s Medicaid revenue, and a single code, T1000, is reported as representing 100.0% of the $21.5M Medicaid total. This level of dependence on one code indicates very limited diversification across service lines within Medicaid.

The provider’s Medicaid activity is dominated by T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes), which by description points to a private‑duty or personal/continuous home nursing model rather than episodic skilled home health. Combined with the practice taxonomy of Home Health Agency, the mix suggests operations built around frequent, short‑interval nursing visits billed as discrete units.

Operational scale can be seen in utilization and pricing: T1000 shows 59K claims with an $365 avg paid/claim producing $21.5M in revenue. Those figures indicate high claim volume paired with a substantial average paid amount per claim, which drives the provider’s entire Medicaid revenue base.

Competitive standing within Oklahoma is modestly strong but not dominant: T1000 activity ranks #3 of 9 providers in‑state (75th percentile; typical, unremarkable volume for this code). That ranking signals the provider is an established, upper‑quartile participant for this service line but not a statewide outlier or market leader.

The data label for utilization—"typical, unremarkable volume for this code"—matches the ranking and suggests the provider’s T1000 volumes are within normal peer variation rather than being a statistical outlier. Analysts should therefore treat the provider as a steady, conventional participant in the private‑duty nursing segment of the state Medicaid market.

Tenure is long enough to indicate an established operation: the NPI was enumerated 2006-08-31 (~20 years ago). That longevity combined with concentrated Medicaid revenue suggests a stable, specialized business model that has persisted over multiple policy and payment cycles.

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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	59,010	$370	$21.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Specialized Home Nursing, Inc. — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	3	10	25,530	$350	$24.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital, Inc.	OK	General Acute Care Hospital	$0	$43.2M
Warren Clinic Inc	OK	General Practice Physician	$0	$40.2M
Saint Francis Outreach Services LLC	OK	Clinical Medical Laboratory	$5.4M	$15.7M
Improving Lives Counseling Services, Inc.	OK	Community/Behavioral Health Agency	$0	$21.1M
Preferred Family Health Care, Inc.	OK	Community/Behavioral Health Agency	$0	$19.4M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$18.9M
Emergency Medicine Physicians Of Tulsa County, LLC	OK	Emergency Medicine Physician	$0	$18M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$14.1M
Home Therapy Resources, Inc.	OK	Pediatric Physical Therapist	$0	$9.4M
Counseling & Recovery Services Of Oklahoma, Inc.	OK	Community/Behavioral Health Agency	$0	$8.7M

Specialized Home Nursing, Inc. — Billing Profile & Reimbursement Data

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Specialized Home Nursing, 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