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

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

Golden Care Inc (NPI 1598844391)

Field	Value
Entity Type	Organization
Organization	Golden Care Inc
Address	403 W Meeting St
City	Lancaster
State	SC
ZIP	29720
Taxonomy	Home Health Agency
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$7.1M
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…	66,470	$50	$3.1M
S5102	Day care services, adult; per diem	46,900	$60	$2.8M
S5130	Homemaker service, nos; per 15 minutes	47,500	$20	$855K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	24,290	$10	$340K
X6987	N/A	160	$50	$8.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Golden Care Inc — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

5 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…	32	100	33,410	$70	$4.6M
S5102	Day care services, adult; per diem	13	50	26,050	$60	$1.7M
S5130	Homemaker service, nos; per 15 minutes	24	80	27,870	$20	$816K
X6987	N/A	14	20	5,450	$60	$630.2K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	11	50	13,420	$10	$226.7K

Nearby Providers

Other providers in the same ZIP code as Golden Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chester-lancaster Disabilties & Special Needs Board	SC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$13M
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$12.1M
The Children's Clinic	SC	Clinic/Center	$0	$8.4M
Mante Pediatrics LLC	SC	Pediatrics Physician	$0	$7M
Carolina Family Care, Inc	SC	Internal Medicine Physician	$0	$6.9M
Morphis Pediatric Group Of Lancaster, P.A.	SC	Rural Health Clinic/Center	$0	$4.8M
Medical University Hospital Authority	SC	Rural Health Clinic/Center	$0	$4.5M
Lancaster County School District	SC	Local Education Agency (LEA)	$0	$2.9M
Oscar Kuruvilla	SC	Ophthalmology Physician	$2.7M	$0
County Of Lancaster	SC	Land Ambulance	$963.3K	$1.5M

Golden Care Inc — Billing Profile & Reimbursement Data

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Golden Care Inc — 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