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

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

Palco, Inc. (NPI 1801276738)

Field	Value
Entity Type	Organization
Organization	Palco, Inc.
Address	501 Millwood Cir Ste A
City	Maumelle
State	AR
ZIP	72113
Taxonomy	Supports Brokerage Agency
NPI Enumerated	June 5, 2015

Payer Source	Total Paid
Medicaid	$436.4M
Medicare	$0

Key Findings

PALCO, INC. is effectively a single-payer Medicaid operator: there is no Medicare billing on file while total Medicaid revenue is $436.4M, indicating the organization’s entire documented federal-reimbursed activity in the dataset is Medicaid-driven. Analysts should treat Medicare exposure as nil and focus risk and utilization analysis on Medicaid programs.

Revenue is highly concentrated: the precomputed top-three Medicaid codes account for 91.3% of this provider’s Medicaid revenue. The three leading codes are T2025 ($160.9M, 36.9%), 99509 ($158.7M, 36.4%), and S5125 ($78.6M, 18.0%), showing that a handful of service lines dominate the financial profile.

The code mix signals a large-scale waiver and in-home personal care operator: T2025 (Waiver services, nos), 99509 (home health provider visits for ADLs), and S5125 (attendant care services per 15 minutes) together point to primary business lines of waiver administration, home- and attendant-care delivery, and ADL support rather than clinic- or procedure-based care. This aligns with the listed taxonomy “Supports Brokerage Agency” and suggests operations oriented around managing and delivering community-based personal care.

PALCO is a statewide dominant supplier for its top activities: T2025 ranks #1 of 13 providers in-state (100th percentile; extreme outlier) and S5125 ranks #1 of 75 providers in-state (100th percentile; extreme outlier), indicating volumes far above typical state peers for those services. Multiple other codes also show #1 ranks or sole-provider status in the state, reinforcing that PALCO occupies a leading market position in waiver and attendant-care lines.

There is a nuanced competitive signal for 99509: although 99509 is ranked #1 of 2 providers in-state and contributes $158.7M (36.4%) of revenue with 1.7M claims, the comparative label provided is “typical, unremarkable volume for this code,” suggesting PALCO’s leading placement on that specific home-health/ADL code may reflect limited state competitors rather than an extreme deviation from expected volumes. Analysts should interpret the rank alongside the peer-context note when assessing market dominance for 99509.

Operational scale is very large by claim count: the three revenue leaders include 1.1M claims for T2025, 1.7M claims for 99509, and 845.7K claims for S5125. These claim volumes imply substantial operational capacity and back-office throughput requirements (enrollment, care coordination, time-based billing reconciliation) to manage continuous, high-frequency service delivery.

PALCO’s service breadth includes a wide set of waiver-related and community-support codes beyond the top three — examples include T1005 (Respite care services, $21.5M), T1999 (Miscellaneous therapeutic items, $4.3M), T2040 (Financial management, $3.3M), and T1016 (Case management, $1.6M). Several of these codes are listed as #1 of 1 providers in-state, indicating PALCO either uniquely bills for or is the sole documented Medicaid vendor for certain niche waiver functions.

The provider’s NPI tenure is long enough to indicate market establishment: NPI enumerated 2015-06-05 (~11 years ago). Given the sustained, high-volume billing profile and eleven-year enumerated history, PALCO appears to be an established participant in Arkansas Medicaid waiver and attendant-care markets rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	1,058,790	$150	$160.9M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1,688,750	$90	$158.7M
S5125	Attendant care services; per 15 minutes	845,680	$90	$78.6M
T1005	Respite care services, up to 15 minutes	330,940	$70	$21.5M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	40,760	$110	$4.3M
T2040	Financial management, self-directed, waiver; per 15 minutes	41,140	$80	$3.3M
T1016	Case management, each 15 minutes	46,350	$40	$1.6M
G9012	Other specified case management service not elsewhere classified	74,550	$20	$1.4M
T2049	Non-emergency transportation; stretcher van, mileage; per mile	44,570	$20	$936K
H2015	Comprehensive community support services, per 15 minutes	3,870	$230	$905.3K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Palco, Inc. — 6 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1	10	854,690	$100	$82.9M
T1005	Respite care services, up to 15 minutes	1	10	330,940	$60	$21.4M
T2025	Waiver services; not otherwise specified (nos)	1	10	110	$150	$12.4M
S5130	Homemaker service, nos; per 15 minutes	3	10	26,600	$90	$8M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1	10	40,760	$110	$4.3M
T2040	Financial management, self-directed, waiver; per 15 minutes	1	10	41,140	$80	$3.3M
S5125	Attendant care services; per 15 minutes	1	80	4,280	$80	$1.7M
G9012	Other specified case management service not elsewhere classified	1	10	74,550	$20	$1.4M
T2049	Non-emergency transportation; stretcher van, mileage; per mile	1	10	44,570	$20	$917.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	300	570	2,470	$70	$801.4K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Infant Formulas Inc.	AR	Durable Medical Equipment & Medical Supplies	$0	$24.3M
Palco, Inc.	AR	Supports Brokerage Agency	$0	$23.7M
The Manor	AR	Assisted Living Facility	$0	$5.7M
Lincare Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$4.2M
Arkansas Health Group	AR	Internal Medicine Physician	$0	$2M
Shaker Qaqish	AR	Nephrology Physician	$294.7K	$18.1K
Jessica Upchurch	AR	Family Nurse Practitioner	$157.5K	$0
Suman Siddamreddy	AR	Internal Medicine Physician	$129.6K	$0
David Haas	AR	Psychiatry Physician	$128.4K	$0
Jeffrey Carfagno	AR	Family Medicine Physician	$98.8K	$2.1K

Palco, Inc. — Billing Profile & Reimbursement Data

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Palco, 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