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

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

Palco, Inc. (NPI 1932964848)

Field	Value
Entity Type	Organization
Organization	Palco, Inc.
Address	501 Millwood Cir Ste A
City	Maumelle
State	AR
ZIP	72113
Taxonomy	Supports Brokerage Agency
NPI Enumerated	February 20, 2024

Payer Source	Total Paid
Medicaid	$23.7M
Medicare	$0

Key Findings

PALCO, INC. (MAUMELLE, AR) is registered under a taxonomy that “Supports Brokerage Agency,” and its NPI was enumerated on 2024-02-20 (~2 years ago), indicating a relatively recent enrollment window for claims activity and limited longitudinal billing history to analyze. This short tenure should be taken into account when comparing trends or growth against longer-established peers.

This provider has no Medicare billing on file and reports Total Medicaid revenue of $23.7M, making its footprint effectively single‑payer and heavily Medicaid‑dependent. Analysts should treat Medicare-level comparisons as not applicable for this entity because there is no Medicare revenue to benchmark.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with S5130 alone representing $23.6M (99.4% of Medicaid revenue). That concentration means almost all financial performance is driven by a single code and service line.

The dominant code S5130 (Homemaker service, nos; per 15 minutes) implies PALCO operates primarily as a homemaker/home-support services provider billing high-volume, short-interval units of care. Supplemental codes billed — S5161 (Emergency response system; service fee, per month) and A0160 (Non-emergency transportation: per mile - case worker or social worker) — suggest supporting services for clients who may require emergency response monitoring and occasional case‑worker transport, but these are minor revenue contributors.

Competitive standing for the main code is mixed: S5130 ranks #1 of 3 providers in-state (100th percentile) yet is labeled as having a “typical, unremarkable volume for this code.” In practice this means PALCO is the leading in‑state biller of S5130 among a very small peer set, but its volume profile does not read as an outlier relative to the broader distribution for that code.

The secondary code S5161 generated 3.6K claims and $139.4K in revenue (0.6% of Medicaid revenue), ranking #4 of 11 in-state (70th percentile; typical, unremarkable volume), and the tertiary code A0160 shows 37 claims and $888 in revenue (0.0% of Medicaid revenue), ranking #2 of 2 in-state (0th percentile; typical, unremarkable volume). Both codes function as small, ancillary revenue streams and do not materially diversify the provider’s Medicaid income base.

From an operational and payer-risk perspective, the provider’s near-total reliance on S5130 (99.4% of Medicaid revenue) and the fact that the top 3 codes together equal 100.0% of Medicaid revenue leave PALCO highly sensitive to changes in reimbursement policy, coding guidance, or utilization for homemaker services. Any shifts in coverage, eligibility, or audit focus on S5130 would disproportionately impact its financial performance given the narrow service mix.

For analysts, the combination of a recent NPI enrollment (~2 years ago) and an absence of Medicare billing implies limited historical trends and a Medicaid-centric business model that should be analyzed against in‑state peers for homemaker services rather than broader multi‑payer benchmarks. Future monitoring should prioritize S5130 utilization patterns and any changes in state Medicaid reimbursement for homemaker services.

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
S5130	Homemaker service, nos; per 15 minutes	240,460	$100	$23.6M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	3,570	$40	$139.4K
A0160	Non-emergency transportation: per mile - case worker or social worker	40	$20	$890

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Palco, Inc. — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5130	Homemaker service, nos; per 15 minutes	1	10	26,600	$90	$8M
A0160	Non-emergency transportation: per mile - case worker or social worker	2	10	7,640	$30	$240.8K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	4	10	2,130	$30	$149.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palco, Inc.	AR	Supports Brokerage Agency	$0	$436.4M
Infant Formulas Inc.	AR	Durable Medical Equipment & Medical Supplies	$0	$24.3M
The Manor	AR	Assisted Living Facility	$0	$5.7M
Lincare Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$4.2M
Arkansas Health Group	AR	Internal Medicine Physician	$0	$2M
Shaker Qaqish	AR	Nephrology Physician	$294.7K	$18.1K
Jessica Upchurch	AR	Family Nurse Practitioner	$157.5K	$0
Suman Siddamreddy	AR	Internal Medicine Physician	$129.6K	$0
David Haas	AR	Psychiatry Physician	$128.4K	$0
Jeffrey Carfagno	AR	Family Medicine Physician	$98.8K	$2.1K

Palco, Inc. — Billing Profile & Reimbursement Data

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Palco, 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