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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

Sch LLC. (NPI 1760832414)

Field	Value
Entity Type	Organization
Organization	Sch LLC.
Address	1435 S Jefferson Ave
City	Cookeville
State	TN
ZIP	38506
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	June 14, 2016

Payer Source	Total Paid
Medicaid	$46M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: Total Medicaid revenue is $46M and there is no Medicare billing on file, indicating Medicare does not meaningfully contribute to its reported revenue mix. The absence of Medicare activity suggests operations and contracting are focused on state Medicaid programs rather than federal fee-for-service Medicare lines.

Revenue is extremely concentrated in a small set of service codes: the precomputed top 3 Medicaid codes (S5125, T1019, S5150) account for 99.9% of this provider's total Medicaid revenue. That concentration means a handful of service lines drive nearly the entire financial picture reported to Medicaid.

The code mix indicates an in-home attendant and personal care business model: S5125 (attendant care services; per 15 minutes) and T1019 (personal care services, per 15 minutes) together represent the bulk of activity by volume and dollars, while S5150 (unskilled respite care; per 15 minutes) provides supplemental respite capacity. High claim counts for time-based, per-15-minute personal support codes imply a labor-intensive, visit- or shift-based delivery model focused on direct care in home settings.

S5125 is the dominant revenue driver and a statewide outlier: S5125 accounts for $28.9M (62.9% of Medicaid revenue) with 224.1K claims and a $129 avg paid/claim; the provider ranks #4 of 155 in-state (98th percentile) and is labeled an "extreme outlier." This profile characterizes the entity as a major attendant-care provider in Tennessee with volumes far above typical state peers for this code.

T1019 is the second major revenue source but described as a more typical high-volume participant: T1019 generated $15.6M (34.0% of Medicaid revenue) across 220.1K claims at a $71 avg paid/claim, and the provider ranks #7 of 208 in-state (97th percentile) with the volume described as "typical, unremarkable." Together with S5125, T1019 confirms the provider's core competency is per-15-minute in-home personal care, though T1019 sits in a crowded field of similarly large providers.

S5150 and other ancillary codes support respite and limited additional services: S5150 produced $1.4M (3.0% of Medicaid revenue) from 20.2K claims at a $68 avg paid/claim and ranks #5 of 105 in-state (96th percentile), described as "notably above typical state volume." Smaller codes such as S0315 (107 claims, $44.5K revenue, rank #1 of 8, 100th percentile) and S5170 (3.6K claims, $21.9K revenue, rank #20 of 28, 30th percentile) indicate limited but sometimes top-ranked niche offerings in disease management and meal delivery.

Competitive standing is mixed by code: for S5125 the provider is a dominant, extreme outlier in-state and ranks among the very top providers, while for T1019 it is a high-volume but more typical participant in a crowded peer set. This suggests the provider has market-leading scale specifically in attendant care, while other service lines face stronger competition.

The provider has a decade-plus tenure in the NPI registry (enumerated 2016-06-14, ~10 years ago), indicating an established Medicaid billing history. Combined with the concentrated, high-volume code mix, this tenure supports the conclusion that the organization has sustained operations focused on time-based in-home care services and has scaled those lines over multiple years.

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
S5125	Attendant care services; per 15 minutes	224,070	$130	$28.9M
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…	220,130	$70	$15.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	20,210	$70	$1.4M
S0315	Disease management program; initial assessment and initiation of the program	110	$420	$44.5K
S5170	Home delivered meals, including preparation; per meal	3,650	$10	$21.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Sch LLC. — 4 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	4	160	18,880	$110	$3.9M
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…	7	210	10,880	$90	$3.7M
S5170	Home delivered meals, including preparation; per meal	20	30	16,820	$10	$316.6K
S5150	Unskilled respite care, not hospice; per 15 minutes	5	110	1,370	$60	$264K
S0315	Disease management program; initial assessment and initiation of the program	1	10	50	$370	$18.8K

Nearby Providers

Other providers in the same ZIP code as Sch LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pacesetters Incorporated	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.4M
Andrew Johnson	TN	Ophthalmology Physician	$1.9M	$0
Melvin Rapelyea	TN	Diagnostic Radiology Physician	$255.1K	$0
Chet Gentry	TN	Family Medicine Physician	$206.5K	$0
Matthew King	TN	Internal Medicine Physician	$127.4K	$0
Pamela Cosgrove	TN	Optometrist	$92.8K	$0
Taylor Phillips	TN	Physical Therapist	$77K	$0
Laila Hubard	TN	Family Nurse Practitioner	$72.4K	$10
Daniel Haile	TN	Anesthesiology Physician	$34.8K	$0
Patrick Kim	TN	Anesthesiology Physician	$33.4K	$0

Sch LLC. — Billing Profile & Reimbursement Data

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Sch LLC. — 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