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.

Homecare Services Of South Dakota, Inc. (NPI 1639218084)

Field	Value
Entity Type	Organization
Organization	Homecare Services Of South Dakota, Inc.
Address	316 Coteau St
City	Pierre
State	SD
ZIP	57501
Taxonomy	Home Health Agency
NPI Enumerated	February 5, 2007

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

Key Findings

HOMECARE SERVICES OF SOUTH DAKOTA, INC. has no Medicare billing on file and reports total Medicaid revenue of $20.1M, making it effectively a single‑payer Medicaid provider at this scale. Because Medicare activity is absent, Medicaid reimbursement policy and state program changes will be the primary drivers of its financial performance.

Revenue is highly concentrated: the top three Medicaid codes T2033 ($6.2M, 30.7%), S5125 ($5.9M, 29.5%), and S5130 ($3.2M, 15.7%) together account for 75.9% of the provider’s total Medicaid revenue. This concentration indicates a narrow set of service lines are responsible for the bulk of billing and collections.

The code mix (T2033 residential care waiver per diem; S5125 attendant care per 15 minutes; S5130 homemaker service per 15 minutes) shows the operation is focused on home‑ and community‑based long‑term services and supports (HCBS) and residential waiver care. High claim volumes—11.2K claims for T2033, 24.3K for S5125, and 56.4K for S5130—combined with the per‑unit payment patterns (e.g., $550 avg paid/claim for T2033, $244 for S5125, $56 for S5130) point to a mix of per‑diem residential revenue and labor‑intensive, minute‑based personal care delivery.

Competitive standing varies by code: the provider is an extreme statewide outlier on S5130 (56.4K claims; ranks #1 of 48; 100th percentile; extreme outlier, far above typical state volume) and is also the top reporter on T1019 (51.9K claims, $2.6M; ranks #1 of 33; 100th percentile; notably above typical state volume). By contrast, T2033 ranks #1 of 2 (100th percentile) but is labelled a typical, unremarkable volume for that code, and S5125 ranks #4 of 4 (0th percentile) with a typical, unremarkable volume—indicating dominance in some in‑state service lines and more modest or fragmented positions in others.

The provider’s operational footprint appears to be high‑frequency, labor‑intensive care: S5130 and T1019 together represent 56.4K and 51.9K claims respectively, while S5125 adds another 24.3K claims. The payment mix—higher average paid/claim for attendant care ($244) versus lower unit payments for homemaker/personal care ($56 and $51 avg paid/claim)—suggests revenue is driven by large volumes of low‑unit services supplemented by fewer, higher‑paid attendant care units.

The concentration of $20.1M in Medicaid revenue around a few codes creates business vulnerability: because T2033, S5125, and S5130 together represent 75.9% of Medicaid receipts, any state policy, waiver change, or rate adjustment affecting these specific codes would disproportionately affect overall revenue. Diversification into additional service lines or payers would materially change this exposure.

This NPI has been enumerated since 2007-02-05 (~19 years ago), indicating a long tenure in the market that aligns with the provider’s ability to build the large claim volumes and leading in‑state ranks seen for several codes. Longevity increases the likelihood that the provider has established referral and operational processes supporting its home‑and‑community service mix.

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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	11,210	$550	$6.2M
S5125	Attendant care services; per 15 minutes	24,260	$240	$5.9M
S5130	Homemaker service, nos; per 15 minutes	56,390	$60	$3.2M
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…	51,880	$50	$2.6M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	16,560	$80	$1.4M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	8,270	$100	$843.8K

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

Homecare Services Of South Dakota, Inc. — 3 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	4	10	42,360	$210	$8.2M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1	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…	1	30	6,050	$80	$894.1K
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	3	30	2,790	$120	$627.7K
S5130	Homemaker service, nos; per 15 minutes	1	50	5,130	$70	$607.5K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	5	20	2,520	$110	$518.5K

Nearby Providers

Other providers in the same ZIP code as Homecare Services Of South Dakota, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Resources For Human Development	SD	Case Management Agency	$0	$8.5M
Capital Area Counseling Service, Inc	SD	Clinical Social Worker	$0	$7.6M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Oahe, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.4M
Rising Hope Counseling, LLC	SD	Mental Health Counselor	$0	$4M
Central Dakota Eyecare, LLP	SD	Optometrist	$0	$1.8M
Avera St Marys	SD	General Acute Care Hospital	$0	$1.7M
Delta Dental Of South Dakota Foundation	SD	Dental Clinic/Center	$0	$1.2M
Delta Dental Of South Dakota Foundation	SD	Dental Clinic/Center	$0	$1M
Delta Dental Of South Dakota Foundation	SD	Dental Clinic/Center	$0	$594K

Homecare Services Of South Dakota, Inc. — Billing Profile & Reimbursement Data

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Homecare Services Of South Dakota, 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