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.

Kulmoris Joiner (NPI 1891189767)

Field	Value
Entity Type	Individual
Organization	Kulmoris Joiner
Address	350 West Woodrow Wilson Avenue
City	Jackson
State	MS
ZIP	39213
Taxonomy	Home Health Aide
NPI Enumerated	March 27, 2015

Payer Source	Total Paid
Medicaid	$41M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid operation, with Total Medicaid revenue of $41M reported. Analysts should treat this entity as Medicaid-focused rather than a dual-payer operator when assessing payer risk and market exposure.

Revenue is highly concentrated in time-based home care codes: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with T1019 responsible for 89.6% of Medicaid revenue ($36.8M) and S5150 responsible for 10.4% ($4.3M). This concentration indicates the provider’s financial performance rests almost entirely on a very narrow set of service lines.

The code mix (T1019 – personal care services, per 15 minutes; S5150 – unskilled respite care, per 15 minutes) signals a business model built around high-volume, hands-on home and community-based personal care rather than episodic skilled services. The prominence of per-15-minute billing implies a workforce-intensive operation delivering long-duration direct care and respite in clients’ homes.

Operational scale is substantial in claim volume but modest on a per-claim payment basis: T1019 shows 517.7K claims at $71 avg paid/claim, and S5150 shows 99.7K claims at $43 avg paid/claim. These figures point to a high-frequency, low-dollar-per-unit reimbursement profile typical of personal care/respite providers and suggest large caregiver capacity and scheduling complexity.

Competitive standing within Mississippi is strong for the provider’s dominant codes: T1019 ranks #8 of 171 providers in-state (96th percentile) and is described as notably above typical state volume for that code, while S5150 ranks #6 of 85 providers in-state (94th percentile) and is likewise notably above typical state volume. These rankings characterize the entity as a major in-state player for time-based personal care and respite services rather than a marginal provider.

The NPI was enumerated on 2015-03-27 (~11 years ago), indicating an established presence in the state Medicaid market; coupled with the large claim counts and concentrated revenue, this tenure suggests a mature operational footprint and sustained demand for its services over multiple years.

Because nearly all Medicaid revenue flows through a small set of time-based home-care codes, the provider’s financial performance is particularly sensitive to Medicaid policy, rate changes, or utilization shifts affecting T1019 and S5150. From a risk and strategic perspective, this concentration highlights both operational leverage in core services and potential vulnerability to reimbursement or regulatory changes impacting per-15-minute personal care and respite billing.

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 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…	517,670	$70	$36.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	99,720	$40	$4.3M

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

Kulmoris Joiner — 1 of 2 codes 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

2 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…	8	170	29,150	$100	$8.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	6	90	5,060	$60	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mobile Medic Ambulance Service Inc	MS	Ambulance	$7.9M	$35.7M
Willowood Developmental Center	MS	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$21.9M
Central Mississippi Civic Improvement Association, Inc	MS	Federally Qualified Health Center (FQHC)	$0	$10.7M
State Of Mississippi- University Of Mississippi Medical Center	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.8M
Central Mississippi Civic Improvement Association, Inc.	MS	Federally Qualified Health Center (FQHC)	$0	$8M
Srs 2 LLC	MS	Clinical Medical Laboratory	$5.2M	$1.8M
Sincere Home Care LLC.	MS	Community Health Registered Nurse	$0	$2.5M
Mississippi Smiles Dentistry LLC	MS	General Practice Dentistry	$0	$2.4M
Molly Sullivan	MS	Family Nurse Practitioner	$1.9M	$0
Deborah Wright	MS	Assisted Living Facility	$0	$1.5M

Kulmoris Joiner — Billing Profile & Reimbursement Data

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Kulmoris Joiner — 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