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

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

Southern Home Care Services, Inc. (NPI 1891811345)

Field	Value
Entity Type	Organization
Organization	Southern Home Care Services, Inc.
Address	1700 E Park Ave
City	Valdosta
State	GA
ZIP	31602
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$42.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all reported federal payer revenue comes from Medicaid, with total Medicaid revenue of $42.9M. The absence of Medicare activity suggests the organization’s business model is targeted at Medicaid‑eligible populations rather than Medicare beneficiaries.

Revenue is highly concentrated in three minute‑based home care codes: S5125 ($19.7M, 46.0% of Medicaid revenue, $108 avg paid/claim), T1019 ($11.6M, 27.0% of Medicaid revenue, $62 avg paid/claim), and S5130 ($9M, 20.9% of Medicaid revenue, $72 avg paid/claim). Those three codes together account for 93.9% of the provider’s Medicaid revenue, indicating limited diversification across other service lines.

The code mix (S5125 – attendant care, T1019 – personal care per 15 minutes, S5130 – homemaker service per 15 minutes) points to a high‑volume, minute‑based home and community‑based services operation focused on personal assistance, homemaking, and attendant care rather than episodic skilled nursing or institutional services. This suggests operational emphasis on large caseloads and routine, recurring visits billed in 15‑minute increments.

Competitive standing varies by code: for T1019 the provider ranks #2 of 34 in‑state and is in the 97th percentile, indicating a strong statewide position in personal care services; for S5125 it ranks #2 of 4 and the 67th percentile, a more modest position described as typical and unremarkable; S5130 is listed as #1 of 1 with no state peer volume comparison available, meaning it is the sole filer for that homemaker code in the state dataset. These rank and percentile signals indicate market strength in personal care and a unique footprint for homemaker services.

Several secondary codes show the provider offers wraparound supports beyond core attendant/personal care: G9002 (coordinated care fee, $788.6K), H2015 (comprehensive community support, $606K), T1002 (RN services, $118.1K), and A0160 (non‑emergency transportation, $97.7K). While each of these is a small share of total revenue, their presence implies care coordination and ancillary transportation/nursing functions that complement the minute‑based personal care lines.

Some state‑level statistical labels highlight how the provider’s volumes compare to peers: multiple high‑volume codes are described as "typical, unremarkable volume" (e.g., S5125, T1019, H2015), S5130 and several small codes are tagged as "no state peer volume comparison available," and S5150 appears as #1 of 2 at the 100th percentile while still noted as typical. These mixed designations suggest the provider is large on absolute Medicaid dollars for core services but not consistently an extreme outlier relative to in‑state peers across every code.

The provider’s long tenure (NPI enumerated 2007-03-22, approximately 19 years ago) indicates an established presence in the market and likely operational maturity in delivering Medicaid home‑ and community‑based services. This longevity, combined with concentrated Medicaid revenue, suggests institutional experience with state Medicaid billing and program rules.

Concentration risk is material: with 93.9% of Medicaid revenue coming from three minute‑based personal care and homemaker codes, any policy, reimbursement, or utilization change affecting S5125, T1019, or S5130 could disproportionately affect overall revenue. Analysts should treat reimbursement volatility and minute‑based authorization limits as key operational risk factors for this provider.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	182,670	$110	$19.7M
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…	187,060	$60	$11.6M
S5130	Homemaker service, nos; per 15 minutes	124,560	$70	$9M
S5150	Unskilled respite care, not hospice; per 15 minutes	16,880	$60	$928.5K
G9002	Coordinated care fee, maintenance rate	4,930	$160	$788.6K
H2015	Comprehensive community support services, per 15 minutes	8,540	$70	$606K
T1002	Rn services, up to 15 minutes	8,440	$10	$118.1K
A0160	Non-emergency transportation: per mile - case worker or social worker	16,290	$10	$97.7K
T1001	Nursing assessment / evaluation	890	$60	$57.2K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	780	$30	$21.8K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Southern Home Care Services, Inc. — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	2	10	123,870	$90	$119.4M
S5130	Homemaker service, nos; per 15 minutes	1	10	124,560	$70	$8.9M
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…	2	30	17,680	$90	$6.9M
A0160	Non-emergency transportation: per mile - case worker or social worker	2	10	16,290	$30	$3.3M
G9002	Coordinated care fee, maintenance rate	1	10	4,930	$160	$791K
H2015	Comprehensive community support services, per 15 minutes	9	40	2,260	$70	$518.1K
S5150	Unskilled respite care, not hospice; per 15 minutes	1	10	8,830	$50	$478.2K
T1002	Rn services, up to 15 minutes	5	30	640	$50	$162.7K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2	10	4,200	$30	$124.7K
T1001	Nursing assessment / evaluation	14	30	490	$50	$118.3K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southern Home Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Home Care Services, Inc.	AK	In Home Supportive Care Agency	$0	$68.7M
Southern Home Care Services, Inc.	MO	In Home Supportive Care Agency	$0	$44.2M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$14.1M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$6.6M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$5.8M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$4.5M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$4M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$3.9M
Southern Home Care Services	SC	Nursing Care Agency	$0	$2.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Home Care Services, Inc.	GA	Home Health Agency	$0	$212.2M
Behavioral Health Services Of South Georgia	GA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.1M
1st America Infusion Services LLC	GA	Home Infusion Therapy Pharmacy	$219.3K	$18.5M
Hospital Authority Of Valdosta And Lowndes County Georgia	GA	General Acute Care Hospital	$0	$14M
Choices For Life Of Georgia, LLC	GA	Community/Behavioral Health Agency	$0	$9M
Valdosta Children's Healthcare Center ,LLC	GA	Pediatric Adolescent Medicine Physician	$0	$6.5M
Southern Home Care Services, Inc.	GA	Home Health Agency	$0	$6.5M
Paula Bennett	GA	Nurse Practitioner	$0	$3.2M
William Tidmore	GA	Rheumatology Physician	$2.8M	$0
Sgmp Southland LLC	GA	Psychiatry Physician	$0	$1.6M

Southern Home Care Services, Inc. — Billing Profile & Reimbursement Data

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Southern Home Care Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References