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

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

Addus Healthcare (south Carolina), Inc. (NPI 1396059481)

Field	Value
Entity Type	Organization
Organization	Addus Healthcare (south Carolina), Inc.
Address	3294 Ashley Phosphate Rd Ste 1c
City	N Charleston
State	SC
ZIP	29418
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	July 30, 2010

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	27,700	$60	$1.6M
X6985	N/A	8,980	$60	$502.7K
T1005	Respite care services, up to 15 minutes	3,470	$80	$277.2K
S5150	Unskilled respite care, not hospice; per 15 minutes	4,340	$50	$199.8K
S5130	Homemaker service, nos; per 15 minutes	6,040	$20	$90.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Addus Healthcare (south Carolina), Inc. — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

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

5 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…	55	100	33,410	$70	$4.6M
T1005	Respite care services, up to 15 minutes	15	20	4,860	$90	$892.9K
S5130	Homemaker service, nos; per 15 minutes	61	80	27,870	$20	$816K
X6985	N/A	4	10	5,180	$50	$448.7K
S5150	Unskilled respite care, not hospice; per 15 minutes	2	10	3,460	$60	$223.4K

Nearby Providers

Other providers in the same ZIP code as Addus Healthcare (south Carolina), Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dorchester Dental Health PC	SC	Dental Clinic/Center	$0	$3.5M
Premier Medical Center, Inc	SC	Primary Care Clinic/Center	$0	$2.2M
Robert Pringle	SC	Interventional Cardiology Physician	$281.4K	$0
Donald Saunders	SC	Interventional Cardiology Physician	$267.8K	$0
Monique Sandhu	SC	Interventional Cardiology Physician	$267.8K	$0
Patrick Looser	SC	Interventional Cardiology Physician	$189.3K	$0
Eni Okonofua	SC	Internal Medicine Physician	$142.2K	$0
Marabel Schneider	SC	Interventional Cardiology Physician	$53.4K	$0
James Cawthorne	SC	Podiatrist	$53.4K	$0
Tina Ellis	SC	Physician Assistant	$35.2K	$0

Addus Healthcare (south Carolina), Inc. — Billing Profile & Reimbursement Data

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Addus Healthcare (south Carolina), Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References