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

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

Heavenly Sunshine Health (NPI 1396173159)

Field	Value
Entity Type	Organization
Organization	Heavenly Sunshine Health
Address	975 Gaines School Rd # Build-4
City	Athens
State	GA
ZIP	30605
Taxonomy	Nurse's Aide
NPI Enumerated	October 14, 2013

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, 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…	3,440	$860	$3M
S5102	Day care services, adult; per diem	990	$310	$307.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Heavenly Sunshine Health — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	5	10	1,980	$100	$4.4M
T1020	Personal care services, per diem, 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…	2	10	1,880	$470	$1.3M

Nearby Providers

Other providers in the same ZIP code as Heavenly Sunshine Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oconee Area Home Care Services, Inc.	GA	Home Health Agency	$0	$14.9M
Jing Dong	GA	Ophthalmology Physician	$580.5K	$0
American Eye Surgery Center, Inc.	GA	Ambulatory Surgical Clinic/Center	$494.2K	$0
Whispering Pines Assisted Living Facility, LLC	GA	Assisted Living Facility	$0	$315K
Henry Morris	GA	Family Medicine Physician	$229.4K	$0
Kenneth Warren	GA	Physical Therapist	$205.6K	$0
Rachel Nation	GA	Physical Therapist	$134.9K	$0
Marshall Herron	GA	Podiatrist	$132.9K	$0
Anthony Gordon	GA	Foot Surgery Podiatrist	$67.7K	$0
Chandler Davis	GA	Registered Dietitian	$3.6K	$0

Heavenly Sunshine Health — Billing Profile & Reimbursement Data

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Heavenly Sunshine Health — Billing Profile & Reimbursement Data

Sign up for Heavenly Sunshine Health — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References