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.

At Home Care, Inc. (NPI 1871785527)

Field	Value
Entity Type	Organization
Organization	At Home Care, Inc.
Address	1004 College St
City	Port Gibson
State	MS
ZIP	39150
Taxonomy	Home Health Agency
NPI Enumerated	August 16, 2007

Payer Source	Total Paid
Medicaid	$58M
Medicare	$0

Key Findings

AT HOME CARE, INC. is a Home Health Agency based in PORT GIBSON, MS with an NPI enumerated 2007-08-16 (~19 years ago). The provider reports $58M in lifetime Medicaid revenue and has no Medicare billing on file, indicating its measurable footprint in federal programs is currently limited to Medicaid.

This provider is effectively single-payer at scale: there is no Medicare revenue on file while total Medicaid revenue is $58M. Analysts should treat Medicaid as the organization’s primary and nearly exclusive public-payer exposure rather than a mixed Medicare/Medicaid model.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and T1019 alone is reported as $58M in revenue (690K claims, $84 avg paid/claim) representing 100.0% of this provider’s total Medicaid revenue. This indicates virtually all billed Medicaid dollars flow through a single service line.

The code mix — dominated by T1019 (Personal care services, per 15 minutes, part of the individualized plan of treatment) — signals an operational focus on high-volume personal care and non-skilled in-home assistance rather than skilled home health nursing services. Given the description that T1019 is not to be used for home health aide or certified nurse assistant services in certain settings, the provider appears positioned to deliver community-based personal care under Medicaid programs.

Competitive standing for the dominant code is strong in-state: T1019 ranks #5 of 171 providers in-state (98th percentile; notably above typical state volume for this code), marking AT HOME CARE, INC. as a major statewide participant for this specific service. That ranking suggests market scale and experience in delivering personal care compared with most peers across the state.

The other listed codes (S5150 — 1.4K claims, $0 avg paid/claim, $0 revenue; and S5100 — 13 claims, $0 avg paid/claim, $0 revenue) are immaterial to Medicaid revenue. S5150 ranks #65 of 85 providers in-state (24th percentile; typical, unremarkable volume for this code) and S5100 ranks #147 of 149 providers in-state (1th percentile; typical, unremarkable volume for this code), so they do not contribute to the provider’s revenue base in the current data.

The concentration of $58M in Medicaid revenue into a single reimbursed code creates pronounced business and policy sensitivity: any changes to Medicaid coverage, payment rates, or program guidance for T1019 could materially affect the provider’s revenue. Analysts should flag concentration risk and prioritize monitoring of state Medicaid policy and payment trends for personal care services when modelling this entity’s financial exposure.

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
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…	689,970	$80	$58M
S5150	Unskilled respite care, not hospice; per 15 minutes	1,420	$0	$0
S5100	Day care services, adult; per 15 minutes	10	$0	$0

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

At Home Care, 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

3 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…	5	170	29,150	$100	$8.2M
S5100	Day care services, adult; per 15 minutes	147	150	6,390	$170	$2.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	65	90	5,060	$60	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Claiborne County Hospital	MS	Critical Access Hospital	$0	$9.3M
At Home Care, Inc	MS	Nursing Care Agency	$0	$6M
David M. Headley, M.d. PA	MS	Family Medicine Physician	$0	$3.3M
Renex Dialysis Facilities, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.4M
Claiborne County Family Health Center	MS	Federally Qualified Health Center (FQHC)	$0	$1.3M
David Headley	MS	Family Medicine Physician	$311.1K	$0
Kendrique Morgan	MS	Physical Therapist	$34.9K	$0

At Home Care, Inc. — Billing Profile & Reimbursement Data

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At Home Care, 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