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.

Statewide Healthcare Services, Inc (NPI 1679601645)

Field	Value
Entity Type	Organization
Organization	Statewide Healthcare Services, Inc
Address	3828 I 55 N
City	Jackson
State	MS
ZIP	39211
Taxonomy	Home Health Agency
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicaid	$145.2M
Medicare	$0

Key Findings

STATEWIDE HEALTHCARE SERVICES, INC is operating effectively as a Medicaid-focused home health agency: its reported Medicaid revenue is $145.2M and there is no Medicare billing on file, indicating the organization is functionally single-payer in the available claims data. The provider’s taxonomy (Home Health Agency) and the dominant code mix support a service model concentrated on community-based, non-institutional personal care delivery rather than traditional Medicare home health skilled-nursing bundles.

Revenue is extremely concentrated in a single service line: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and T1019 alone is reported at $145.2M (2M claims, $72 avg paid/claim; 100.0% of this provider's total Medicaid revenue). This level of concentration implies that nearly all Medicaid billing flows through per-15-minute personal care service encounters rather than a diversified set of procedure codes.

The billing pattern for T1019 (personal care services, per 15 minutes) signals a high-volume, time-based personal care operation: using a per-15-minute code at scale (2M claims) suggests frequent short-interval visits or high cumulative staff time billed in the community. For payers and network planners, this indicates utilization that is driven by minute-level caregiving encounters rather than episodic skilled nursing, which has different oversight, authorization, and reimbursement implications.

Competitive standing within the state is dominant for this code: the provider ranks #1 of 171 providers in-state, is at the 100th percentile, and is described as an "extreme outlier, far above typical state volume for this code." That ranking characterizes the organization as a market leader for Medicaid personal care services in Mississippi and suggests substantial local market share for T1019 services.

Payer mix implications are stark: with no Medicare revenue on file and $145.2M in Medicaid revenue, the provider is effectively single-payer reliant in the available dataset. This concentration exposes payers to concentrated cost and utilization risk for any changes in policy, reimbursement, or utilization management related to T1019 services.

Organizational tenure is long-standing: the NPI was enumerated on 2007-03-01 (~19 years ago), indicating an established presence in the market. The combination of long tenure and extreme-volume billing for a single code suggests an operational model that has been sustained over many years rather than a transient billing spike.

For contractors, auditors, and utilization managers, the pattern points to priorities for review and oversight that differ from typical Medicare home-health claims: focus should be on authorization practices, visit documentation for per-15-minute billing, and program-level capacity given the 2M-claim volume. Contract negotiations and network adequacy assessments should account for the provider’s outsized state role in delivering T1019 personal care services.

Medicaid: Complete Services Breakdown

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

1 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…	2,017,160	$70	$145.2M

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

Statewide Healthcare Services, Inc — 1 of 1 code 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

1 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…	1	170	29,150	$100	$8.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Statewide Healthcare Services, Inc	MS	Home Health Agency	$0	$97.6M
Statewide Healthcare Services, Inc	MS	Nursing Care Agency	$0	$67.2M
Statewide Healthcare Services, Inc	MS	Nursing Care Agency	$0	$17.2M
Pleasant Living Care Coordination	MS	Homemaker	$0	$15.7M
Statewide Healthcare Services, Inc	MS	Nursing Care Agency	$0	$9.4M
Isluv Robertson	MS	Registered Nurse	$0	$3.7M
Statewide Healthcare Services, Inc	MS	Community/Behavioral Health Agency	$0	$1.9M
Ridgewood Clinics PA	MS	Mental Health Counselor	$0	$1.7M
John Wilkaitis	MS	Child & Adolescent Psychiatry Physician	$22.2K	$1.4M
Krishan Gupta	MS	Psychiatry Physician	$22.9K	$300.7K

Statewide Healthcare Services, Inc — Billing Profile & Reimbursement Data

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Statewide Healthcare 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