Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidStatewide Healthcare Services, Inc
    Ask Trek AI about this page

    Statewide Healthcare Services, Inc — Billing Profile & Reimbursement Data

    NPI 1629199351 · Jackson, MS · Home Health Agency

    Customize your policy alerts

    Sign up for Statewide Healthcare Services, Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Statewide Healthcare Services, Inc is a home health agency provider located in Jackson, Mississippi. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationStatewide Healthcare Services, Inc
    Address3829 I-55 North
    CityJackson
    StateMS
    ZIP39211
    TaxonomyHome Health Agency
    NPI EnumeratedApril 2, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$97.6M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused operator: there is no Medicare billing on file and the provider reports $97.6M in lifetime Medicaid revenue, indicating Medicaid is the virtually sole payer driving its business scale. The absence of Medicare activity suggests the organization’s operations and revenue model are concentrated on state Medicaid programs and home- and community-based services rather than traditional Medicare home health billing.

    Revenue concentration is very high: the precomputed top three Medicaid codes account for 82.7% of the provider’s total Medicaid revenue, driven primarily by S5125 (53.5% of revenue), T1019 (19.0%), and S5136 (10.2%). This heavy concentration means changes in reimbursement or utilization for those three codes would materially affect the provider’s overall financial profile.

    S5125 (attendant care services; per 15 minutes) is the single largest revenue source with 341.3K claims, $153 avg paid/claim, and $52.2M in revenue (53.5% of Medicaid revenue); it ranks #2 of 18 providers in-state (94th percentile). That rank and share position this organization as a major statewide participant in attendant care delivery, even though the dataset labels the volume for this code as "typical, unremarkable."

    T1019 (personal care services, per 15 minutes) is the second driver with 62.3K claims, $298 avg paid/claim, and $18.6M revenue (19.0% of Medicaid revenue); it ranks #49 of 171 providers in-state (72th percentile). The provider’s substantial volume in T1019 confirms a strong operational focus on hands-on personal care services, but the code’s percentile and label indicate the provider is one of many active participants rather than an outlier in this segment.

    S5136 (companion care, per diem) generates $10M (10.2% of Medicaid revenue) from only 2K claims at a high $4949 avg paid/claim, showing the provider leverages higher-paid per-diem companion placements to contribute meaningful revenue despite low claim counts. The code ranks #10 of 17 providers in-state (44th percentile), which points to a moderate competitive position for per-diem companion services relative to peers.

    The provider shows specialized strengths in certain ancillary service lines: S5135 (companion care, per 15 minutes) produced $7.6M (7.8% of revenue) from 20.9K claims and ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume), and H2025 (ongoing support to maintain employment) reported $1.7M (1.7% of revenue) across 8.5K claims and ranks #1 of 13 providers (100th percentile; notably above typical state volume). These top-percentile rankings indicate targeted dominance in companion-per-15-minutes delivery and supported employment services, suggesting operational expertise or focused service lines in those niches.

    Other Medicaid codes reflect a mix of behavioral and support services at smaller shares: H2019 (therapeutic behavioral services) produced $2.7M (2.7% of revenue) and ranks #2 of 5 providers (75th percentile), while H2023 (supported employment) produced $1.2M (1.3% of revenue) and ranks #2 of 11 providers (90th percentile). Taken together, these codes show the provider also participates meaningfully in behavioral and employment-support programs, complementing its core attendant and personal care offerings.

    The organization has an established tenure in the market, with NPI enumeration on 2007-04-02 (~19 years ago), which aligns with the scale and depth of its Medicaid relationships and the broad mix of long-term personal care, companion care, day care, behavioral, and employment-support codes in its billing profile. This longevity, combined with concentrated revenue in a few Medicaid codes, suggests a mature, Medicaid-centric business model with specific state-level strengths rather than diversified payer exposure.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes341,250$150$52.2M
    T1019Personal 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…62,320$300$18.6M
    S5136Companion care, adult (e.g., iadl/adl); per diem2,020$4,950$10M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes20,900$360$7.6M
    S5100Day care services, adult; per 15 minutes3,510$1,050$3.7M
    H2019Therapeutic behavioral services, per 15 minutes6,520$410$2.7M
    H2025Ongoing support to maintain employment, per 15 minutes8,520$190$1.7M
    H2023Supported employment, per 15 minutes1,360$900$1.2M
    97537In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…30$200$5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes22012,350$340$31.3M
    S5136Companion care, adult (e.g., iadl/adl); per diem10202,200$5,060$21.5M
    T1019Personal 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…4917029,150$100$8.2M
    H2019Therapeutic behavioral services, per 15 minutes2101,590$340$3.6M
    S5100Day care services, adult; per 15 minutes941506,390$170$2.3M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes110220$350$1.1M
    H2025Ongoing support to maintain employment, per 15 minutes110500$460$764.5K
    H2023Supported employment, per 15 minutes210480$670$380.9K
    97537In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…210620$20$9.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Statewide Healthcare Services, IncMSHome Health Agency$0$145.2M
    Statewide Healthcare Services, IncMSNursing Care Agency$0$67.2M
    Statewide Healthcare Services, IncMSNursing Care Agency$0$17.2M
    Pleasant Living Care CoordinationMSHomemaker$0$15.7M
    Statewide Healthcare Services, IncMSNursing Care Agency$0$9.4M
    Isluv RobertsonMSRegistered Nurse$0$3.7M
    Statewide Healthcare Services, IncMSCommunity/Behavioral Health Agency$0$1.9M
    Ridgewood Clinics PAMSMental Health Counselor$0$1.7M
    John WilkaitisMSChild & Adolescent Psychiatry Physician$22.2K$1.4M
    Krishan GuptaMSPsychiatry Physician$22.9K$300.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Statewide Healthcare Services, Inc — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi