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 Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota 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 Dakota (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.

Independent Health Solutions LLC (NPI 1518370238)

Field	Value
Entity Type	Organization
Organization	Independent Health Solutions LLC
Address	1143 Lincoln Ave Sw
City	Huron
State	SD
ZIP	57350
Taxonomy	Home Health Agency
NPI Enumerated	June 10, 2014

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Key Findings

INDEPENDENT HEALTH SOLUTIONS LLC is effectively a Medicaid-focused home health agency: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $4M, indicating the provider’s entire reported payer activity is concentrated in state Medicaid programs. The absence of Medicare billing implies the operation is oriented toward services covered by Medicaid benefit structures rather than traditional Medicare home health lines.

Revenue concentration within Medicaid is extreme and highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, so overall financial performance is driven entirely by a small set of personal-care and home-support codes rather than a broad mix of procedures. This concentration increases sensitivity to reimbursement or policy changes affecting those specific codes.

Code-level drivers show a clear service mix focused on hands-on personal care and private-duty nursing: T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes) accounts for $2.3M revenue (56.0% of Medicaid revenue) across 11.8K claims with an average paid per claim of $192, indicating a major portion of revenue comes from short-interval licensed nursing visits. Complementary codes T1019 (personal care services) and S5130 (homemaker service) together represent the remainder of Medicaid revenue, consistent with an agency model delivering both nursing and non-skilled daily living supports in the home.

Competitive standing by in-state rankings is modest-to-strong but not dominant: for its largest code T1000 the provider ranks #4 of 28 in-state (89th percentile), placing it among the larger suppliers of licensed private-duty nursing in South Dakota, while for T1019 it ranks #8 of 33 (78th percentile) and for S5130 it ranks #15 of 48 (70th percentile). Each code’s dataset label is “typical, unremarkable volume,” which the rankings confirm — the provider is a meaningful regional participant on T1000 and a mid-to-upper-tier player on the other two codes, rather than a statewide monopoly.

Operational scale and utilization signal a labor-intensive, high-touch service model: combined claims counts for the top codes (T1000: 11.8K claims; T1019: 12.1K claims; S5130: 8.3K claims) alongside per-claim averages (T1000 $192, T1019 $97, S5130 $73) suggest high-frequency, short-interval visits typical of private-duty nursing and personal care agencies rather than episodic, procedure-based billing. This profile aligns with a workforce and scheduling model focused on frequent caregiver visits rather than infrequent high-cost procedures.

Tenure is established but not long-tenured by some measures: the NPI was enumerated 2014-06-10 (~12 years ago), indicating the agency has had nearly a decade-plus to build Medicaid referral relationships and operational capacity within the state. That tenure supports its observed rankings on core codes, especially T1000 where it sits near the top quartile.

Statistical outlier assessment: none of the reported code volumes are labeled as outliers — each is described as “typical, unremarkable volume” — so while this provider concentrates revenue in three codes, its utilization and ranks fall within the expected range for in-state peers rather than reflecting atypical or extreme billing patterns. This suggests the provider’s concentration is a strategic business profile rather than an anomalous reporting artifact.

Strategic risk and opportunity notes: given the provider’s dependence on Medicaid ($4M) and the fact that the top three codes constitute 100.0% of that revenue, any shifts in state policy, rate changes, or competitive dynamics around T1000, T1019, or S5130 could materially affect revenue. Conversely, the provider’s top-tier ranking on T1000 (89th percentile) indicates an opportunity to leverage a strong position in licensed private-duty nursing services when pursuing rate negotiations, care coordination contracts, or program expansions within Medicaid.

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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	11,820	$190	$2.3M
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…	12,130	$100	$1.2M
S5130	Homemaker service, nos; per 15 minutes	8,270	$70	$604K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Independent Health Solutions LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota 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…	8	30	6,050	$80	$894.1K
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	4	30	2,790	$120	$627.7K
S5130	Homemaker service, nos; per 15 minutes	15	50	5,130	$70	$607.5K

Nearby Providers

Other providers in the same ZIP code as Independent Health Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Huron Area Center For Independence	SD	Developmental Disabilities Clinic/Center	$0	$75.7M
Our Home Inc	SD	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$35.3M
Community Counseling Service	SD	Mental Health Counselor	$0	$13.7M
Our Home, Inc.	SD	Substance Abuse Rehabilitation Facility	$0	$9.6M
Huron Regional Medical Center Inc	SD	Critical Access Hospital	$0	$3.4M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$3.2M
Huron Vt LLC	SD	Assisted Living Facility	$0	$1.9M
Dakota Family Dentistry, Prof. LLC	SD	Dental Clinic/Center	$0	$1.3M
Huron Eye Clinic PC	SD	Optometrist	$0	$1.2M
Huron Clinic Foundation Ltd	SD	Family Medicine Physician	$0	$1M

Independent Health Solutions LLC — Billing Profile & Reimbursement Data

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Independent Health Solutions LLC — Billing Profile & Reimbursement Data

Sign up for Independent Health Solutions LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References