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.

Total Health Care Services, Inc. (NPI 1619001864)

Field	Value
Entity Type	Organization
Organization	Total Health Care Services, Inc.
Address	922 Highway 82 W
City	Greenwood
State	MS
ZIP	38930
Taxonomy	Homemaker
NPI Enumerated	March 16, 2007

Payer Source	Total Paid
Medicaid	$72.5M
Medicare	$0

Key Findings

This provider is effectively a single-payer, Medicaid-focused operation: lifetime Medicaid revenue is $72.5M and there is no Medicare billing on file. The NPI was enumerated on 2007-03-16 (~19 years ago), indicating a long-tenured presence in the state Medicaid market.

Revenue is highly concentrated in a very narrow set of service codes: the precomputed top three Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with T1019 alone contributing $63.4M (87.4% of Medicaid revenue). This concentration signals heavy dependence on a single service line for the bulk of cash flow.

The code mix and the provider taxonomy (Homemaker) indicate this is an operation focused on home- and community-based personal care and support services. Top codes T1019 (personal care services, per 15 minutes), S5150 (unskilled respite care, per 15 minutes), and S5100 (day care services, adult, per 15 minutes) collectively describe hands-on, time-based personal assistance and adult day programming rather than clinical or skilled medical care.

Operational scale is large in unit volume: the provider reported 1.1M claims for T1019 with an average paid per claim of $58, 139.5K claims for S5150 at $55 avg paid/claim, and 21.3K claims for S5100 at $67 avg paid/claim. These high counts—especially the 1.1M T1019 claims composed of 15-minute units—suggest a staffing and visit-intensive model built around many short-duration care episodes.

For its leading personal-care code T1019 the provider is a statewide outlier and competitive leader: it ranks #2 of 171 providers in-state (99th percentile) and is described as an extreme outlier, meaning its volume for that code is far above typical state levels. This positions the provider as a dominant statewide participant in Medicaid-funded personal care services.

The provider is also a top performer for respite services: S5150 generated $7.7M (10.6% of Medicaid revenue) across 139.5K claims and ranks #3 of 85 providers in-state (98th percentile), characterized as notably above typical state volume for that code. By contrast, S5100 is a smaller, more typical line for this provider—$1.4M (2.0% of Medicaid revenue), 21.3K claims, ranking #38 of 149 providers (75th percentile).

The combination of long tenure (~19 years) and extreme revenue concentration creates strategic and financial implications: with 100.0% of Medicaid revenue coming from three time-based personal care codes, the provider’s financial performance is highly sensitive to Medicaid rate changes, program policy, or utilization shifts affecting T1019 and S5150. Its lack of Medicare activity means there is little built-in payer diversification to mitigate state Medicaid reimbursement or regulatory changes.

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
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…	1,092,290	$60	$63.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	139,490	$60	$7.7M
S5100	Day care services, adult; per 15 minutes	21,290	$70	$1.4M

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

Total Health Care Services, Inc. — 2 of 3 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

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…	2	170	29,150	$100	$8.2M
S5100	Day care services, adult; per 15 minutes	38	150	6,390	$170	$2.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	3	90	5,060	$60	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Vi Community Mental Health Commission	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$100.2M
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$31.9M
Complete Health Care Services	MS	Homemaker	$0	$8.5M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.5M
Life Help Industries	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.3M
Greenwood Leflore Hospital	MS	Rural Health Clinic/Center	$0	$4.7M
Region 6 Community Mental Health Commission	MS	Community/Behavioral Health Agency	$0	$4M
Coleman Cataract And Eye Laser Surgery Center, Inc	MS	Ophthalmologic Surgery Clinic/Center	$1.6M	$1.5M
Greenwood Leflore Hospital	MS	Emergency Medicine Physician	$0	$2.7M
Happicare One LLC Ppec Pediatric Daycare	MS	Pediatric Skilled Nursing Facility	$0	$2.7M

Total Health Care Services, Inc. — Billing Profile & Reimbursement Data

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Total Health Care 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

Nearby Providers

Frequently Asked Questions

References