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.

Allcaregivers, Inc. (NPI 1467435511)

Field	Value
Entity Type	Organization
Organization	Allcaregivers, Inc.
Address	4727c Sunset Blvd
City	Lexington
State	SC
ZIP	29072
Taxonomy	Nursing Care Agency
NPI Enumerated	November 22, 2005

Payer Source	Total Paid
Medicaid	$33.3M
Medicare	$0

Key Findings

ALLCAREGIVERS, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $33.3M, indicating the organization’s entire reported federal-reimbursed footprint in our data is concentrated in Medicaid. This makes the provider highly exposed to state Medicaid policy and reimbursement dynamics rather than Medicare trends.

The provider’s service mix is dominated by home- and community-based personal-care codes, consistent with its Nursing Care Agency taxonomy: T1019 (Personal care services, per 15 minutes), S5130 (Homemaker service, per 15 minutes), and T1005 (Respite care services, up to 15 minutes) together reflect an operation that delivers hands-on, time-based ADL/IADL support and short-term respite care. The presence of attendant care (S5125) and companion care (S5135) further supports a focus on in-home personal assistance rather than medical skilled nursing.

Revenue concentration is very high: the precomputed top three Medicaid codes account for 88.0% of the provider’s Medicaid revenue, with T1019 alone representing $24.1M (72.4% of Medicaid revenue), S5130 at $3.3M (9.8%), and T1005 at $2M (5.9%). This concentration means a small set of per-15-minute, personal-care codes drive the bulk of the reported Medicaid dollars.

Claim volume and payment patterns show a labor-intensive, high-frequency model: T1019 reports 344.5K claims at $70 avg paid/claim (yielding $24.1M), and S5130 reports 163.1K claims at $20 avg paid/claim (yielding $3.3M). Those claim counts are consistent with minute/interval billing in home care and imply operational scale oriented around high visit frequency and staff time-tracking.

On competitive standing within South Carolina, ALLCAREGIVERS is a major statewide participant for certain codes: T1019 ranks #4 of 97 providers (97th percentile) and S5130 ranks #3 of 78 providers (97th percentile), both described as notably above typical state volume for these codes. S5135 also ranks highly (#2 of 18, 94th percentile), while other revenue contributors such as T1005 (#4 of 23, 86th percentile), X0241 (#3 of 7, 67th percentile) and S5125 (#4 of 7, 50th percentile) are characterized as typical or unremarkable in volume.

The provider’s business model appears operationally concentrated and labor-dependent: most revenue comes from short-interval, per-15-minute codes, which implies margins and capacity are sensitive to staffing levels, visit documentation, and state rate-setting. Given that the top three codes make up 88.0% of Medicaid revenue, changes to reimbursement or utilization rules for those specific codes could materially affect overall revenue.

The organization has longstanding enrollment history—NPI enumerated on 2005-11-22 (~21 years ago)—which, combined with $33.3M in lifetime Medicaid revenue and top-state rankings on its primary codes, suggests an established presence in the state’s home- and community-based care market rather than a new entrant or small episodic biller.

Medicaid: Complete Services Breakdown

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

6 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…	344,510	$70	$24.1M
S5130	Homemaker service, nos; per 15 minutes	163,110	$20	$3.3M
T1005	Respite care services, up to 15 minutes	18,290	$110	$2M
X0241	N/A	14,350	$120	$1.8M
S5125	Attendant care services; per 15 minutes	11,890	$140	$1.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	33,600	$20	$604.8K

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

Allcaregivers, Inc. — 2 of 6 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

6 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…	4	100	33,410	$70	$4.6M
S5125	Attendant care services; per 15 minutes	4	10	11,890	$140	$1.9M
X0241	N/A	3	10	9,550	$110	$1.4M
T1005	Respite care services, up to 15 minutes	4	20	4,860	$90	$892.9K
S5130	Homemaker service, nos; per 15 minutes	3	80	27,870	$20	$816K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	2	20	6,100	$20	$164.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Medical Management, LLC	SC	Pediatrics Physician	$0	$43.9M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$32M
Lexington County Ems	SC	Ambulance	$2.9M	$6.9M
Lexington Health Inc	SC	Urgent Care Clinic/Center	$0	$8.7M
Key Care Health Services, LLC	SC	Home Health Agency	$0	$8.5M
Capital City Therapy Group, LLC	SC	Specialist	$0	$7.3M
Health Promotion Specialists	SC	Dental Hygienist	$0	$6.5M
Lexington School District One	SC	Local Education Agency (LEA)	$0	$5.7M
Lexington Health Inc	SC	Pediatric Adolescent Medicine Physician	$0	$5.7M
Amedisys Sc, LLC	SC	Home Health Agency	$0	$4.5M

Allcaregivers, Inc. — Billing Profile & Reimbursement Data

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Allcaregivers, 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