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    OpenPayerNPI Medicare & MedicaidHamiltondavis Care At Home, Inc.
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    Hamiltondavis Care At Home, Inc. — Billing Profile & Reimbursement Data

    NPI 1497277719 · Pearl, MS · Home Health Agency

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    Hamiltondavis Care At Home, Inc. is a home health agency provider located in Pearl, Mississippi. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHamiltondavis Care At Home, Inc.
    Address311 Airport Rd S
    CityPearl
    StateMS
    ZIP39208
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 7, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$22.1M
    Medicare$0

    Key Findings

    This entity is effectively a single‑payer Medicaid provider: Medicare activity is none (no Medicare billing on file) while total Medicaid revenue is $22.1M, so all recorded billing and revenue on file flows through Medicaid rather than Medicare. Analysts should treat the provider as Medicaid‑centric when modeling payer mix or network capacity.

    Revenue is extremely concentrated in a single service line: the precomputed top-3 share for Medicaid is 100.0%, and T1019 alone is reported as generating $22.1M of the provider's Medicaid revenue. This concentration means changes to T1019 reimbursement or program rules would disproportionately affect the provider's topline.

    The code mix indicates an operational focus on personal care rather than skilled nursing: T1019 (personal care services, per 15 minutes) is the sole reported Medicaid revenue driver, which aligns with a Home Health Agency operating primarily as a personal care services vendor rather than a medically skilled home‑health provider. This suggests staffing, scheduling, and billing processes are oriented around frequent, short‑interval aide visits.

    Volume and payment profile show high-frequency unit billing: T1019 is associated with 240.3K claims at a $92 avg paid/claim, producing $22.1M in revenue. The combination of large claim count and per‑unit payment level is consistent with a model delivering many routine personal care units rather than infrequent high‑intensity procedures.

    State competitive standing for this code is relatively strong: T1019 ranks #12 of 171 providers in-state and is in the 94th percentile, though the supplied label characterizes this as a "typical, unremarkable volume for this code." In practice, the provider sits in the upper decile for T1019 activity among Mississippi peers even if the distribution for this service is broad and many providers report similar patterns.

    Operational tenure is established but not long legacy: NPI enumerated on 2017-07-07 (~9 years ago), indicating roughly a near‑decade of registration. The combination of that tenure with $22.1M in Medicaid receipts implies sustained, ongoing delivery of personal care services since enrollment.

    For payers and network managers, the provider's billing profile signals a predictable, high‑volume personal care partner: the T1019 description and the 240.3K claim volume point to community‑based, per‑15‑minute direct care visits rather than episodic skilled interventions. Contracting, utilization review, and rate negotiations should therefore focus on unit‑rate, visit‑frequency, and authorization controls tied to T1019 billing patterns.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…240,270$90$22.1M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…1217029,150$100$8.2M

    Nearby Providers

    Other providers in the same ZIP code as Hamiltondavis Care At Home, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Infusion Partners LLCMSHome Infusion Therapy Pharmacy$0$2.6M
    The Pediatric Dental Studio, LLCMSPediatric Dentistry$0$2.2M
    Benemed Holdings, Inc.MSDurable Medical Equipment & Medical Supplies$0$1.5M
    Pearls Children's Clinic PLLCMSPediatrics Physician$0$1.3M
    David FlemmingMSInternal Medicine Physician$317.2K$0
    Lucius SamsMSInternal Medicine Physician$276.6K$0
    Deidra ThompsonMSPsychiatric/Mental Health Nurse Practitioner$72.8K$0
    Tay NielsenMSClinical Social Worker$13.7K$0
    Tara Pharmacy Se LLCMSLong Term Care Pharmacy$3.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Hamiltondavis Care At Home, Inc. — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi