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

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

Quality Healthcare And Hospice (NPI 1588915268)

Field	Value
Entity Type	Organization
Organization	Quality Healthcare And Hospice
Address	126 Dunleith Way
City	Clinton
State	MS
ZIP	39056
Taxonomy	Nursing Care Agency
NPI Enumerated	September 21, 2012

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider: there is no Medicare billing on file and all reported lifetime government revenue is Medicaid-only, totaling $17.5M. The absence of Medicare activity indicates payer mix is heavily concentrated on state Medicaid programs rather than dual coverage across Medicare/Medicaid.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 93.4% of the provider's total Medicaid revenue. The three headline drivers are T1025 ($9.3M, 53.4% of Medicaid revenue), T1019 ($3.9M, 22.2%), and S9124 ($3.1M, 17.8%).

The code mix indicates the organization’s operational focus is on intensive clinic-based multidisciplinary care for children with complex needs (T1025) plus high-volume personal care (T1019) and billed licensed practical nurse home care (S9124). In practical terms this suggests a blended operation that delivers both clinic-based pediatric complex care and substantial in-home personal and nursing services rather than traditional hospice services implied by the name.

Competitive standing varies by code: for T1025 the provider ranks #3 of 16 in-state (87th percentile), indicating a strong position among peers for intensive clinic-based pediatric services. By contrast, T1019 ranks #50 of 171 (71st percentile) and S9124 ranks #4 of 11 (70th percentile), positioning the provider as a solid but not dominant participant across the broader personal care and LPN home-care markets.

Although T1025 is a top revenue driver and ranks highly, the dataset characterizes volumes for the provider’s top codes as "typical, unremarkable volume." This labeling suggests that even the provider’s strongest code-level positions fall within expected regional practice patterns rather than representing extreme outlier behavior.

Operational scale is uneven across service lines: claim volumes are very high for the two leading codes (T1025 at 42.5K claims and T1019 at 60.7K claims), implying significant ongoing staffing and visit-volume management needs. At the same time S9124 generates far fewer claims (3.7K) but a much higher average paid/claim ($847), indicating a mix of high-frequency lower-unit services and lower-frequency higher-unit services in the revenue mix.

The provider shows some limited service diversification beyond the top three codes: smaller revenue contributors include T1026 ($503.4K, 2.9%), S5150 ($369.3K, 2.1%), and T2002 ($278.4K, 1.6%). These ancillary codes suggest additional clinic-hour billing, respite care, and non-emergency transport services are present but together account for a modest share of total Medicaid revenue.

The NPI has been enumerated since 2012-09-21 (~14 years ago), indicating an established presence in the state Medicaid market; combined with $17.5M lifetime Medicaid revenue and concentrated code-level billing, this tenure supports the view of a steady, Medicaid-centric operation with focused 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
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	42,470	$220	$9.3M
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…	60,750	$60	$3.9M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	3,680	$850	$3.1M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	2,390	$210	$503.4K
S5150	Unskilled respite care, not hospice; per 15 minutes	6,970	$50	$369.3K
T2002	Non-emergency transportation; per diem	4,880	$60	$278.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Quality Healthcare And Hospice — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

6 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…	50	170	29,150	$100	$8.2M
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	3	20	22,420	$240	$5.9M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	4	10	870	$260	$3.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	34	90	5,060	$60	$1.3M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	7	20	1,030	$170	$434.6K
T2002	Non-emergency transportation; per diem	9	20	5,120	$40	$203.4K

Nearby Providers

Other providers in the same ZIP code as Quality Healthcare And Hospice, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grace And Mercy Personal Care And Respite Service, LLC	MS	Homemaker	$0	$92.9M
Scott Martin	MS	Family Medicine Physician	$9M	$0
Knit Together Healthcare	MS	Nursing Care Agency	$0	$6.2M
One Hope, LLC	MS	Intellectual & Developmental Disabilities Psychologist	$0	$2.5M
Sta-home Health Agency Of Jackson, Inc.	MS	Home Health Agency	$0	$2.4M
Lhc Seniors Association	MS	Homemaker	$0	$2.2M
Lakeland Home Program, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Stephanie Dungey	MS	Pediatric Dentistry	$0	$1.6M
Anna Jennings Nix, Dmd, PLLC	MS	Pediatric Dentistry	$0	$1.2M
Ashton Davis	MS	Dermatology Physician	$697.4K	$0

Quality Healthcare And Hospice — Billing Profile & Reimbursement Data

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Quality Healthcare And Hospice — 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