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.

Gift Home Health Care LLC (NPI 1598245136)

Field	Value
Entity Type	Organization
Organization	Gift Home Health Care LLC
Address	102 N Krohn Pl Ste 210
City	Sioux Falls
State	SD
ZIP	57103
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	August 14, 2018

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	6,270	$60	$388.7K
S5130	Homemaker service, nos; per 15 minutes	9,320	$40	$382.3K
T2033	Residential care, not otherwise specified (nos), waiver; per diem	180	$2,140	$377K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1,360	$70	$88.6K
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1,050	$40	$42K

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

Gift Home Health Care LLC — 0 of 5 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

5 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	5,690	$570	$3.3M
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…	14	30	6,050	$80	$894.1K
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	23	30	2,790	$120	$627.7K
S5130	Homemaker service, nos; per 15 minutes	13	50	5,130	$70	$607.5K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	13	20	2,520	$110	$518.5K

Nearby Providers

Other providers in the same ZIP code as Gift Home Health Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chris Dickes Dentistry Prof LLC	SD	General Practice Dentistry	$0	$4.3M
Recover Health Of Iowa, Inc.	SD	Home Health Agency	$0	$4M
Alpha Sigma Health Group, Inc.	SD	Home Health Agency	$0	$4M
Loyal In-home Care LLC	SD	In Home Supportive Care Agency	$0	$2.9M
Holden Health Group Inc.	SD	Secured Medical Transport (VAN)	$0	$1.5M
River Ridge Oral & Maxillofacial Surgical Center	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$755.3K
Edgewood Greenleaf Sioux Falls LLC	SD	Assisted Living Facility	$0	$700K
Revitalized Wellness PLLC	SD	Primary Care Clinic/Center	$0	$648.3K
Diversified Enterprises, Inc.	SD	Home Health Agency	$0	$301.9K
Freed Dental Prof. L.L.C.	SD	Dental Clinic/Center	$0	$250.1K

Gift Home Health Care LLC — Billing Profile & Reimbursement Data

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Gift Home Health Care LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References