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.

Rescare Georgia (NPI 1518135599)

Field	Value
Entity Type	Organization
Organization	Rescare Georgia
Address	2296 Henderson Mill Rd Ne
City	Atlanta
State	GA
ZIP	30345
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 13, 2008

Payer Source	Total Paid
Medicaid	$93.8M
Medicare	$0

Key Findings

RESCARE GEORGIA reports no Medicare billing on file and $93.8M in lifetime Medicaid revenue, making its billing profile effectively single-payer and heavily Medicaid-dependent. Analysts should treat Medicaid program changes as central to this provider's financial exposure because Medicare is not represented in the available claims data.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 97.7% of the provider's total Medicaid revenue, driven by T2033 (54.2%), T2017 (34.7%), and T1003 (8.8%). This concentration indicates the bulk of revenue is generated by a very narrow set of waiver- and nursing-related service lines rather than a broad mix of outpatient or medical services.

The code mix points to a residential waiver operator with embedded nursing services: T2033 (Residential care, nos, waiver; per diem) and T2017 (Habilitation, residential, waiver; 15 minutes) together represent the majority of revenue, while T1003 (Lpn/lvn services, up to 15 minutes) supplies skilled nursing labor. This pattern is consistent with a provider operating residential habilitation programs where on-site LPN/LVN care is a routine part of service delivery.

Operational scale is large in utilization: T2033 shows 208.3K claims with an average paid/claim of $244, T2017 shows 224.7K claims with $145 avg paid/claim, and T1003 shows 36.9K claims with $224 avg paid/claim. Those claim volumes and per-claim rates imply high throughput of residents and a sustained staffing requirement for nursing and residential habilitation.

Competitive standing in-state is strong on several fronts: RESCARE GA ranks #1 of 20 for T1003 (100th percentile; notably above typical state volume), and ranks #2 of 10 for T2033 (89th percentile; notably above typical state volume), indicating market leadership in LPN/LVN services and a top-tier position for residential waiver per-diem services. For T2017 it ranks #2 of 9 (88th percentile) but is characterized as typical/unremarkable volume for that code, suggesting strong absolute activity but not an unusual outlier for habilitation services.

The provider’s reliance on a small set of waiver and nursing codes creates concentration risk: because T2033, T2017, and T1003 together make up 97.7% of Medicaid revenue, policy, reimbursement, or utilization shifts affecting residential waiver or LPN/LVN billing could materially affect overall revenue. Payer negotiations or state waiver rule changes should be prioritized in any risk assessment.

RESCARE GA’s NPI was enumerated on 2008-02-13 (~18 years ago), indicating an established presence in the Georgia market and a sustained operating history that aligns with being a major in-state provider for waiver services. Longevity supports institutional experience in managing residential habilitation and waiver billing processes.

Secondary Medicaid codes are small relative to the top three: T2028 generated $1M (1.1% of revenue), T2025 generated $778K (0.8%), and T1002 generated $345.3K (0.4%), and their state ranks/percentiles are mostly typical/unremarkable. These line items appear ancillary to the business model and do not materially diversify revenue away from the dominant residential and LPN/LVN service lines.

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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	208,290	$240	$50.8M
T2017	Habilitation, residential, waiver; 15 minutes	224,680	$150	$32.6M
T1003	Lpn/lvn services, up to 15 minutes	36,940	$220	$8.3M
T2028	Specialized supply, not otherwise specified, waiver	7,280	$140	$1M
T2025	Waiver services; not otherwise specified (nos)	7,070	$110	$778K
T1002	Rn services, up to 15 minutes	3,000	$120	$345.3K

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

Rescare Georgia — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2	10	32,460	$440	$30.4M
T2017	Habilitation, residential, waiver; 15 minutes	2	10	18,160	$180	$18.4M
T2025	Waiver services; not otherwise specified (nos)	20	30	15,890	$130	$7.5M
T1003	Lpn/lvn services, up to 15 minutes	1	20	470	$150	$1.1M
T2028	Specialized supply, not otherwise specified, waiver	5	20	2,190	$210	$854K
T1002	Rn services, up to 15 minutes	9	30	640	$50	$162.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Normal Life Of Georgia	GA	Community/Behavioral Health Agency	$0	$165.4M
Columbus Medical Services	GA	Case Management Agency	$0	$68.5M
Luis Limeres	GA	Dentist	$0	$866.1K
Cope Behavior Health, LLC	GA	Mental Illness Community Based Residential Treatment Facility	$0	$535.5K
Ronterius Sanders	GA	Mental Health Counselor	$0	$309.8K
Ki Jung	GA	Neurology Physician	$124.7K	$0
Viral Patel	GA	Diagnostic Radiology Physician	$87.4K	$0
Publix Super Markets Inc	GA	Community/Retail Pharmacy	$80.7K	$0
John Sass	GA	Clinical Neuropsychologist	$37.1K	$0
Robert Bashuk	GA	Neurology Physician	$23K	$0

Rescare Georgia — Billing Profile & Reimbursement Data

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Rescare Georgia — 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