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    OpenPayerNPI Medicare & MedicaidGrace And Mercy Personal Care And Respite Service,…
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    Grace And Mercy Personal Care And Respite Service, LLC — Billing Profile & Reimbursement Data

    NPI 1790835635 · Clinton, MS · Homemaker

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    Grace And Mercy Personal Care And Respite Service, LLC is a homemaker provider located in Clinton, Mississippi. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGrace And Mercy Personal Care And Respite Service, LLC
    Address410 Masonic Drive
    CityClinton
    StateMS
    ZIP39056
    TaxonomyHomemaker
    NPI EnumeratedJanuary 11, 2007

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

    Payer SourceTotal Paid
    Medicaid$92.9M
    Medicare$0

    Key Findings

    This entity is effectively a Medicaid-focused home- and community-based services provider: it reports no Medicare billing on file and $92.9M in lifetime Medicaid revenue, indicating a single-payer operational footprint centered on state Medicaid programs rather than fee-for-service Medicare. The provider’s taxonomy is Homemaker, and the billed codes match that service line, so the business is concentrated on personal care and unskilled respite delivered in non-institutional settings.

    Revenue is extremely concentrated in a narrow set of time-based personal care codes: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with a single code, T1019, responsible for the majority share. T1019 alone represents $85.3M in revenue (91.8% of the provider’s Medicaid revenue) and 735.3K claims at an average paid amount of $116 per claim, highlighting how dependent the business is on routine per-15-minute personal care billing.

    The secondary revenue stream is unskilled respite: S5150 accounts for $7.6M (8.2% of Medicaid revenue) across 127.3K claims with an average paid amount of $60 per claim. Together, T1019 and S5150 make up the entirety of reported Medicaid revenue, which implies operational focus on high-volume, time-based home support and respite scheduling rather than episodic clinical services.

    Competitive standing within Mississippi is strong for its principal codes: the provider ranks #4 of 171 in-state for T1019 (98th percentile) and #4 of 85 for S5150 (96th percentile). These percentile placements and top-4 rankings characterize the provider as a major in-state player for both personal care and respite services, operating at volumes notably above typical state peers.

    The claims volumes reported (735.3K for T1019 and 127.3K for S5150) signal sustained high-frequency service delivery and imply significant workforce scheduling and operational capacity to deliver per-15-minute services at scale. That pattern is consistent with a time-based, non-skilled care model rather than intermittent skilled interventions, and suggests infrastructure oriented around continuous home support.

    The provider has long tenure in the NPI registry, enumerated on 2007-01-11 (~19 years ago), which supports interpretation of the current high-volume billing profile as the product of an established operation rather than a recent entrant. Longevity combined with high state-ranking for core codes suggests entrenched market presence in its service niches.

    Statistically, both principal codes are described as “notably above typical state volume for this code,” which aligns with the observed rank/percentile data; in plain terms, the provider is an outlier on the upper end of in-state volume for time-based personal care and respite services. These labels and ranks should inform peer comparisons and any further utilization or cost analyses focused on per-15-minute home care billing patterns.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…735,290$120$85.3M
    S5150Unskilled respite care, not hospice; per 15 minutes127,250$60$7.6M

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…417029,150$100$8.2M
    S5150Unskilled respite care, not hospice; per 15 minutes4905,060$60$1.3M

    Nearby Providers

    Other providers in the same ZIP code as Grace And Mercy Personal Care And Respite Service, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality Healthcare And HospiceMSNursing Care Agency$0$17.5M
    Scott MartinMSFamily Medicine Physician$9M$0
    Knit Together HealthcareMSNursing Care Agency$0$6.2M
    One Hope, LLCMSIntellectual & Developmental Disabilities Psychologist$0$2.5M
    Sta-home Health Agency Of Jackson, Inc.MSHome Health Agency$0$2.4M
    Lhc Seniors AssociationMSHomemaker$0$2.2M
    Lakeland Home Program, LLCMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Stephanie DungeyMSPediatric Dentistry$0$1.6M
    Anna Jennings Nix, Dmd, PLLCMSPediatric Dentistry$0$1.2M
    Ashton DavisMSDermatology Physician$697.4K$0

    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
    Grace And Mercy Personal Care And Respite Service, LLC — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi