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.

Southern Caregivers, Ltd (NPI 1396396420)

Field	Value
Entity Type	Organization
Organization	Southern Caregivers, Ltd
Address	106 S Washington
City	Magnolia
State	AR
ZIP	71753
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	September 20, 2019

Payer Source	Total Paid
Medicaid	$18.9M
Medicare	$0

Key Findings

SOUTHERN CAREGIVERS, LTD has no Medicare billing on file and $18.9M in lifetime Medicaid revenue, making its footprint in this dataset effectively single-payer and dominated by Medicaid reimbursements. The absence of Medicare activity means competitive and utilization analyses should be framed primarily against in-state Medicaid peers rather than dual-payer benchmarks.

Revenue concentration is extreme: the top 3 Medicaid codes by revenue account for 100.0% of the provider's Medicaid revenue, with T1019 alone representing $18.9M and 99.8% of total Medicaid revenue. This level of concentration indicates the provider’s financial performance is overwhelmingly driven by a single service category.

The code mix — dominated by T1019 (personal care services, per 15 minutes) with ancillary reporting of T1017 (targeted case management) and S5125 (attendant care services) — is consistent with an in-home supportive care operation focused on personal care and supportive long-term services and supports (LTSS). The presence of targeted case management alongside high-volume personal care suggests a service model that pairs hands-on assistance with care coordination.

T1019 activity is exceptionally high: 242.3K claims at a $78 avg paid/claim yielding $18.9M in revenue, and the provider ranks #6 of 139 in-state (96th percentile) for this code, explicitly labeled an "extreme outlier" relative to state peers. That rank and volume position SOUTHERN CAREGIVERS as a major state-level provider of personal care services under Medicaid for this specific code.

Other reported codes are negligible revenue contributors: T1017 accounts for 1.5K claims, a $21 avg paid/claim, and $30.5K revenue (0.2% of Medicaid revenue), ranking #50 of 91 in-state (46th percentile), while S5125 shows 1.2K claims with a $0 avg paid/claim and $0 revenue (0.0% of Medicaid revenue), ranking #53 of 75 (30th percentile). These figures indicate that ancillary case management and attendant-care codes do not materially drive the provider’s Medicaid revenue.

From a competitive standpoint, SOUTHERN CAREGIVERS is a dominant high-volume provider specifically for T1019 in Arkansas (96th percentile and #6 of 139), while it remains a modest or typical participant on other codes based on mid-to-low percentile ranks. Analysts comparing peers should therefore treat the entity as a top-tier T1019 provider but not broadly dominant across multiple service lines.

The provider’s NPI was enumerated on 2019-09-20 (~7 years ago), indicating it has been active for roughly seven years in this data window; accumulating $18.9M in Medicaid revenue over that period underscores rapid scaling or concentrated high-volume service delivery in personal care. Tenure combined with extreme concentration suggests a focused business model rather than a diversified multiservice agency.

The reliance on a single high-volume code creates operational and reimbursement sensitivity: any policy, rate, or utilization changes affecting T1019 could materially impact the provider’s Medicaid revenue. Additionally, the 1.2K S5125 claims with $0 paid/claim and $0 revenue point to billing or reimbursement nuances that warrant deeper record-level review by analysts to determine whether these represent non-covered submissions, bundled payments, or reporting artifacts.

Medicaid: Complete Services Breakdown

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

3 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…	242,290	$80	$18.9M
T1017	Targeted case management, each 15 minutes	1,450	$20	$30.5K
S5125	Attendant care services; per 15 minutes	1,240	$0	$0

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

Southern Caregivers, Ltd — 1 of 2 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

3 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…	6	140	18,150	$60	$2.5M
S5125	Attendant care services; per 15 minutes	53	80	4,280	$80	$1.7M
T1017	Targeted case management, each 15 minutes	50	90	1,830	$20	$206.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magnolia Specialized Services, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$14.1M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$6.1M
Smiles Of Arkansas Dental Center, PLLC	AR	General Practice Dentistry	$0	$4.6M
United Methodist Behavioral Health System, Inc	AR	Adolescent and Children Mental Health Clinic/Center	$0	$1.7M
Columbia County Ambulance Service Co Inc	AR	Land Ambulance	$439.1K	$1.2M
Magnolia Regional Health System Inc	AR	Critical Access Hospital	$0	$1.3M
Jason Franks	AR	Internal Medicine Physician	$547.2K	$0
Magnolia Surgery Center, LLC	AR	Ambulatory Surgical Clinic/Center	$474K	$13K
Fred Murphy	AR	Internal Medicine Physician	$373K	$0
Joe Hester	AR	Ophthalmology Physician	$302.3K	$0

Southern Caregivers, Ltd — Billing Profile & Reimbursement Data

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Southern Caregivers, Ltd — 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