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

Why is the Medicaid comparison limited to Illinois 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. Illinois (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.

Advantage Nursing Services Inc (NPI 1568527810)

Field	Value
Entity Type	Organization
Organization	Advantage Nursing Services Inc
Address	15154 Cicero Ave
City	Oak Forest
State	IL
ZIP	60452
Taxonomy	Home Health Agency
NPI Enumerated	December 27, 2006

Payer Source	Total Paid
Medicaid	$80.2M
Medicare	$0

Key Findings

ADVANTAGE NURSING SERVICES INC is effectively a Medicaid-focused home health agency: the provider has no Medicare billing on file and reports $80.2M in lifetime Medicaid revenue, indicating a single-payer revenue profile concentrated on state Medicaid business. The NPI was enumerated on 2006-12-27 (~20 years ago), showing long operational tenure in the market.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with one code (T1000) alone representing the vast majority. This concentration means most of the provider’s financial performance is driven by a very narrow set of service lines.

T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes) is the dominant revenue driver: 236.1K claims, $336 avg paid/claim, $79.3M revenue, which equals 98.9% of this provider's total Medicaid revenue. The claim volume and per-claim payment profile indicate an operational model built around frequent, short-interval skilled nursing or private-duty nursing visits rather than episodic or bundled home health episodes.

Competitive standing for T1000 within the state is unique: the provider "ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available)," which suggests either solitary reporting of this specific code in the dataset or a lack of comparable peers for direct in-state benchmarking. Because of that data configuration, comparative market-share judgments for this code are limited by the absence of peer volume data.

T1019 (Personal care services, per 15 minutes) is a secondary but measurable revenue stream: 7.7K claims, $117 avg paid/claim, $902.4K revenue, representing 1.1% of the provider's Medicaid revenue. This code "ranks #2 of 19 providers in-state (94th percentile; notably above typical state volume for this code)," indicating the provider delivers personal care services at a materially higher volume than most state peers.

The code mix (T1000 dominant with a smaller share of T1019) implies the provider operates primarily as a private-duty/independent nursing agency with supplemental personal care offerings rather than a traditional Medicare-oriented home health agency. The presence of high-frequency, short-interval private duty nursing suggests staffing, scheduling, and billing processes optimized for repeat in-home visits.

From a payer-mix and strategic perspective, ADVANTAGE NURSING SERVICES INC is effectively single-payer dependent: no Medicare revenue is on file while Medicaid accounts for $80.2M of lifetime revenue. That concentration makes the business highly sensitive to Medicaid policy, rate changes, and program eligibility shifts rather than Medicare reimbursement dynamics.

Operational scale is notable in absolute Medicaid activity: 236.1K claims tied to a single code (T1000) and combined Medicaid lifetime revenue of $80.2M point to a high-volume, Medicaid-centric service footprint in Oak Forest, IL. Analysts should treat this profile as a high-volume Medicaid private-duty nursing operator with limited diversification across payers and 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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	236,070	$340	$79.3M
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…	7,710	$120	$902.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Advantage Nursing Services Inc — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1	10	236,070	$340	$79.2M
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…	2	20	130	$110	$161.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Advantage Nursing Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantage Nursing Services, Inc	IL	Nursing Care Agency	$0	$10.7M
Advantage Nursing Services, Inc	IL	Nursing Care Agency	$0	$8.7M
Advantage Nursing Services, Inc.	IL	Nursing Care Agency	$0	$4.9M
Advantage Nursing Services Inc	IL	Nursing Care Agency	$0	$4.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Cook County Cooperative Assn For Special Education	IL	Local Education Agency (LEA)	$0	$5.1M
Rama Jager	IL	Ophthalmology Physician	$1.6M	$30.1K
Veeral Sheth	IL	Ophthalmology Physician	$1.6M	$24.9K
Meena George	IL	Ophthalmology Physician	$1.1M	$167.9K
Harit Bhatt	IL	Ophthalmology Physician	$922K	$220.2K
Jose Mario Flores	IL	Family Medicine Physician	$252.2K	$22.8K
Frank Donatello	IL	Family Medicine Physician	$156.2K	$0
Rodney Thill	IL	Surgery Physician	$45.5K	$770

Advantage Nursing Services Inc — Billing Profile & Reimbursement Data

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Advantage Nursing Services 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

Related Providers

Nearby Providers

Frequently Asked Questions

References