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.

Medistaff, LLC (NPI 1861720781)

Field	Value
Entity Type	Organization
Organization	Medistaff, LLC
Address	222 Jackson Meadows Dr
City	Hermitage
State	TN
ZIP	37076
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	December 4, 2009

Payer Source	Total Paid
Medicaid	$34M
Medicare	$0

Key Findings

MEDISTAFF, LLC is effectively a Medicaid-focused in-home supportive care agency: it has no Medicare billing on file and $34M in lifetime Medicaid revenue, indicating that its entire recorded payer footprint is Medicaid-driven rather than split across Medicare and Medicaid. This makes the entity effectively single-payer (Medicaid) in the available claims data.

Revenue concentration is extremely high among a few service lines: the precomputed top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with S5125 contributing $21.1M (62.0%), T1019 $12M (35.3%), and S5150 $937.6K (2.8%). This mix shows reliance on a narrow set of per-15-minute personal and attendant care services for virtually all billed Medicaid dollars.

The code mix (S5125, T1019, S5150) indicates operational focus on hands-on, time-based home care: S5125 (attendant care services per 15 minutes) and T1019 (personal care services per 15 minutes under an individualized plan) together make up 97.3% of Medicaid revenue, signaling the business primarily delivers direct personal and attendant care in client homes rather than skilled or facility-based services. S5150 (unskilled respite care) represents a smaller but present respite offering.

MEDISTAFF ranks as a high-volume in-state participant for its top codes: S5125 ranks #5 of 155 providers in the state (97th percentile) and is described as notably above typical state volume, while T1019 ranks #10 of 208 providers (96th percentile) and is characterized as typical/unremarkable volume. These rankings indicate the provider is a major regional participant for attendant care and an important, though somewhat less dominant, provider for personal care services.

For S5150 (unskilled respite care) the provider ranks #6 of 105 in-state (95th percentile) and is also noted as notably above typical state volume, suggesting the agency provides more respite care than most peers even though that code contributes only $937.6K (2.8%) of its Medicaid revenue. This points to a broader service offering beyond core attendant and personal care while still keeping revenue concentration on the two main codes.

The provider has a long operational tenure from its NPI enumeration date: NPI registered on 2009-12-04 (approximately 17 years ago), which supports the observed high cumulative Medicaid revenue and elevated in-state rankings as outcomes consistent with an established service provider.

Given the absence of Medicare claims, the provider’s competitive positioning and risk exposure are tied to state Medicaid policy and reimbursement for time-based home care codes; any changes to Medicaid payment or utilization management for S5125, T1019, or S5150 would likely materially affect its revenue profile because those three codes are the source of 100.0% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	174,340	$120	$21.1M
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…	171,480	$70	$12M
S5150	Unskilled respite care, not hospice; per 15 minutes	18,030	$50	$937.6K

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

Medistaff, LLC — 3 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	5	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…	10	210	10,880	$90	$3.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	6	110	1,370	$60	$264K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advancecare Health Services, LLC	TN	In Home Supportive Care Agency	$0	$23.4M
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$22.1M
Hermitage Pediatric Dentistry	TN	Dental Clinic/Center	$0	$19.1M
Childrens Medical Group	TN	Pediatrics Physician	$0	$4M
Children's Clinic East	TN	Pediatrics Physician	$0	$3.9M
Two Rivers Emergency Physicians PLLC	TN	Emergency Medicine Physician	$0	$2.6M
Summit Surgery Center LP	TN	Ambulatory Surgical Clinic/Center	$559.9K	$655.4K
Chirag Amin	TN	Hematology & Oncology Physician	$820K	$0
Lisa Laya	TN	Infectious Disease Physician	$222.2K	$274.2K
Laura Blakely	TN	Hematology & Oncology Physician	$417.9K	$0

Medistaff, LLC — Billing Profile & Reimbursement Data

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Medistaff, 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