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

Why is the Medicaid comparison limited to Texas 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. Texas (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 Concepts Inc (NPI 1891823381)

Field	Value
Entity Type	Organization
Organization	Southern Concepts Inc
Address	3451 Boston Ave
City	Benbrook
State	TX
ZIP	76116
Taxonomy	Intellectual Disabilities Intermediate Care Facility
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$24.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	63,450	$240	$15.2M
H2014	Skills training and development, per 15 minutes	31,990	$50	$1.7M
M0150	N/A	10,210	$160	$1.6M
M0152	N/A	5,390	$180	$942.9K
M0123	N/A	11,350	$80	$862.2K
M0167	N/A	5,230	$160	$847.1K
T2020	Day habilitation, waiver; per diem	8,010	$90	$713.2K
M0116	N/A	18,510	$30	$499.8K
M0122	N/A	6,570	$70	$479.8K
H2019	Therapeutic behavioral services, per 15 minutes	6,790	$70	$455.1K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Southern Concepts Inc — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	37	430	5,020	$270	$5.6M
M0150	N/A	15	80	6,450	$160	$1.4M
H2014	Skills training and development, per 15 minutes	83	560	9,630	$80	$1.4M
M0152	N/A	21	40	5,390	$170	$1.3M
M0167	N/A	21	40	5,570	$150	$1M
M0123	N/A	54	190	7,520	$80	$861.3K
M0122	N/A	59	120	6,320	$70	$648K
H2019	Therapeutic behavioral services, per 15 minutes	9	160	1,030	$100	$322.9K
T2020	Day habilitation, waiver; per diem	50	370	2,050	$70	$306.1K
D9220	N/A	5	10	130	$650	$305.1K

Showing 1–10 of 26

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ageless Living Home Health LLC	TX	Home Health Agency	$0	$118.8M
Metropolitan Area Ems Authority	TX	Land Ambulance	$7.7M	$27.5M
Quang Le	TX	Internal Medicine Physician	$285.2K	$0
Julie Fields	TX	Anatomic Pathology & Clinical Pathology Physician	$40.8K	$0
William Hughes	TX	Occupational Therapist	$26.4K	$0
Matthew Barber	TX	Optometrist	$24.7K	$0
Gloria Martinez	TX	Certified Registered Nurse Anesthetist	$22K	$0

Southern Concepts Inc — Billing Profile & Reimbursement Data

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Southern Concepts Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References