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.

Silver Lining Senior Care LLC (NPI 1467833491)

Field	Value
Entity Type	Organization
Organization	Silver Lining Senior Care LLC
Address	409 Cleveland St
City	Forrest City
State	AR
ZIP	72335
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	June 16, 2015

Payer Source	Total Paid
Medicaid	$21.6M
Medicare	$0

Key Findings

SILVER LINING SENIOR CARE LLC reports no Medicare billing on file and is effectively a single-payer Medicaid provider, with total Medicaid lifetime revenue of $21.6M. This absence of Medicare activity indicates the organization’s billing and service footprint is concentrated entirely in state Medicaid programs rather than dual Medicare/Medicaid streams.

Revenue is highly concentrated in a very small code set: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with T1019 representing $19.2M (88.7%) and S5125 representing $2.4M (11.3%). This concentration shows the business derives nearly all of its Medicaid receipts from personal/attendant care services.

The top revenue driver, T1019 (personal care services, per 15 minutes), and the second code, S5125 (attendant care services; per 15 minutes), align tightly with the provider taxonomy of In Home Supportive Care Agency. The code mix—dominated by per-15-minute personal and attendant care codes—suggests an operational model focused on recurring, direct-care home visits and time-based staffing rather than episodic skilled nursing or medical procedures.

T1019 is a statewide outlier: with 252.5K claims and $19.2M revenue (88.7% of the provider’s Medicaid revenue), the provider ranks #5 of 139 in-state and sits in the 97th percentile, characterized in the data as an extreme outlier. That ranking indicates SILVER LINING is a dominant provider of personal care services in Arkansas relative to peers and operates at volumes far above typical state providers for this code.

S5125 functions as a consistent secondary revenue stream—28.8K claims and $2.4M (11.3% of Medicaid revenue)—and the provider ranks #9 of 75 in-state (89th percentile) for this code. Although the percentile is elevated, the data labels this volume as typical and unremarkable for S5125, so its role appears to be as a routine attendant-care complement to the primary personal-care business rather than a separate area of exceptional dominance.

The provider’s NPI was enumerated on 2015-06-16 (~11 years ago), indicating an established presence in the Arkansas Medicaid home-care market. This tenure, combined with concentrated Medicaid revenue, suggests an operational focus and sustained activity in state-funded long-term services and supports over multiple years.

The extreme concentration of revenue in time-based personal and attendant care codes creates both specialization and vulnerability: policy, rate, or utilization changes affecting T1019 or S5125 could have outsized impact on overall revenue, since those two codes together account for 100.0% of Medicaid receipts. Analysts should monitor state plan amendments, rate updates, and utilization-management initiatives that target per-15-minute personal care to assess revenue risk.

In competitive terms, SILVER LINING’s standing is mixed: it is a major statewide player for T1019 (top-5, 97th percentile, extreme outlier) and a high-volume but described-as-typical participant for S5125 (top-10, 89th percentile). The combination of large absolute Medicaid revenue ($21.6M) and these rankings positions the provider as a significant Medicaid home-care operator in Arkansas with limited diversification across payers or service categories.

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
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…	252,490	$80	$19.2M
S5125	Attendant care services; per 15 minutes	28,820	$90	$2.4M

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

Silver Lining Senior Care LLC — 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

2 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…	5	140	18,150	$60	$2.5M
S5125	Attendant care services; per 15 minutes	9	80	4,280	$80	$1.7M

Nearby Providers

Other providers in the same ZIP code as Silver Lining Senior Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids For The Future Of Forrest City, Inc.	AR	Early Intervention Provider Agency	$0	$23M
St. Francis Area Developmental Center	AR	Developmentally Disabled Services Day Training Agency	$0	$19.4M
Forrest City Home Medical Equipment, LLC	AR	Home Health Agency	$0	$13.7M
Pediatric Dentistry Of Eastern Arkansas	AR	Pediatric Dentistry	$0	$11.5M
Kids For The Future, Inc.	AR	Clinical Child & Adolescent Psychologist	$0	$11.5M
Elite Home Care, LLC	AR	Home Health Agency	$0	$8.6M
Forrest City Arkansas Hospital Company LLC	AR	General Acute Care Hospital	$0	$7.4M
East Arkansas Childrens Clinic	AR	Primary Care Clinic/Center	$0	$4.4M
Ambulance Services Of Forrest City LLC	AR	Ambulance	$366.7K	$3.5M
Boeckmann And Sons	AR	Adult Care Home Facility	$0	$2.9M

Silver Lining Senior Care LLC — Billing Profile & Reimbursement Data

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Silver Lining Senior Care LLC — 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