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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Axcess Healthcare Services, LLC (NPI 1871888990)

Field	Value
Entity Type	Organization
Organization	Axcess Healthcare Services, LLC
Address	100 Mcmillan St Ste A
City	Spartanburg
State	SC
ZIP	29303
Taxonomy	Nursing Care Agency
NPI Enumerated	June 16, 2011

Payer Source	Total Paid
Medicaid	$98.5M
Medicare	$0

Key Findings

AXCESS HEALTHCARE SERVICES, LLC reports $98.5M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) operation in the available claims data. This payer concentration means its entire reported revenue footprint is tied to Medicaid program policy and reimbursement levels rather than a mixed Medicare/Medicaid business model.

Revenue is extremely concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes by revenue account for 98.6% of this provider's total Medicaid revenue. That degree of concentration indicates the business is highly dependent on a narrow set of service lines for its financial performance and is exposed to changes specific to those codes.

T1019 is the dominant revenue driver, generating $88.3M (89.6% of this provider's Medicaid revenue) and accounting for 700.9K claims at $126 avg paid/claim. The provider ranks #2 of 97 in-state for T1019 (99th percentile; extreme outlier), which signals extraordinarily high volume for personal care services (per 15 minutes) relative to peers and positions the firm as one of the state’s largest personal care suppliers by billing for this code.

The code mix (T1019 personal care per 15 minutes, T1005 respite care per 15 minutes, and T1002 RN services per 15 minutes) indicates an operational focus on home- and community-based personal care and respite services with some skilled nursing (RN) visits. High counts of short-interval, per-15-minute units suggest the business model is built around frequent, brief direct-care visits rather than infrequent longer-duration encounters.

T1005 (respite care services) contributes $5.3M (5.4% of Medicaid revenue) from 46.4K claims and ranks #1 of 23 providers in-state (100th percentile; notably above typical state volume). This rank makes AXCESS a top statewide provider for respite care billing and reinforces the view that respite is a material secondary service line after T1019.

T1002 (RN services) accounts for $3.5M (3.5% of Medicaid revenue) across 9.5K claims, ranking #36 of 102 providers in-state (65th percentile; typical). The RN service volume is unremarkable compared with peers, suggesting clinical oversight/skilled nursing is present but not a major revenue driver relative to personal care and respite.

Smaller codes form a long tail: S5130 (homemaker service) contributed $994.5K (1.0%), X6985 contributed $284.7K (0.3%), and S5150 (unskilled respite care) contributed $149K (0.2%). These amounts confirm limited service diversification beyond the dominant personal care and respite codes and indicate most incremental revenue comes from low-value, lower-volume ancillary codes.

AXCESS has been enumerated since 2011-06-16 (~15 years ago), indicating multi-year tenure in the Medicaid market. Combined with the provider’s concentrated reliance on T1019 and leadership positions on T1019/T1005, this suggests a stable, specialized business footprint in in-home personal care and respite services, but also meaningful operational and reimbursement risk tied to policy or rate changes affecting those high-volume codes.

Medicaid: Complete Services Breakdown

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

6 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…	700,880	$130	$88.3M
T1005	Respite care services, up to 15 minutes	46,390	$120	$5.3M
T1002	Rn services, up to 15 minutes	9,510	$370	$3.5M
S5130	Homemaker service, nos; per 15 minutes	41,440	$20	$994.5K
X6985	N/A	5,180	$60	$284.7K
S5150	Unskilled respite care, not hospice; per 15 minutes	2,570	$60	$149K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Axcess Healthcare Services, LLC — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

6 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…	2	100	33,410	$70	$4.6M
T1005	Respite care services, up to 15 minutes	1	20	4,860	$90	$892.9K
S5130	Homemaker service, nos; per 15 minutes	26	80	27,870	$20	$816K
T1002	Rn services, up to 15 minutes	36	100	5,080	$60	$611.2K
X6985	N/A	6	10	5,180	$50	$448.7K
S5150	Unskilled respite care, not hospice; per 15 minutes	3	10	3,460	$60	$223.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spartanburg Medical Center	SC	General Acute Care Hospital	$0	$187.7M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40M
Spartanburg Medical Center	SC	Emergency Medicine Physician	$0	$17.2M
Spartanburg Medical Center	SC	Family Medicine Physician	$0	$17M
Spartanburg Medical Center	SC	Maternal & Fetal Medicine Physician	$0	$11.5M
Better Beginnings, Inc	SC	Pediatric Occupational Therapist	$0	$6.9M
Whitney Road Dental Health Center, P.C.	SC	General Practice Dentistry	$0	$6.3M
Foothills Pediatric Dentistry, PA	SC	Pediatric Dentistry	$0	$4.9M
Bhg Xxxviii, LLC	SC	Substance Use Disorder Rehabilitation Clinic/Center	$264.8K	$3.5M
Upstate Carolina Radiology PA	SC	Diagnostic Radiology Physician	$0	$3.2M

Axcess Healthcare Services, LLC — Billing Profile & Reimbursement Data

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Axcess Healthcare Services, 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