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.

Specialty Healthcare (NPI 1952695256)

Field	Value
Entity Type	Organization
Organization	Specialty Healthcare
Address	16 Lakeview Dr
City	Raymond
State	MS
ZIP	39154
Taxonomy	Nursing Care Agency
NPI Enumerated	June 3, 2011

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	19,000	$60	$1.2M
S5125	Attendant care services; per 15 minutes	4,610	$140	$631K
S5150	Unskilled respite care, not hospice; per 15 minutes	5,020	$50	$240.9K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	120	$610	$71.8K
S5100	Day care services, adult; per 15 minutes	100	$60	$5.4K

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

Specialty Healthcare — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	12	20	12,350	$340	$31.3M
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…	103	170	29,150	$100	$8.2M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	10	10	870	$260	$3.7M
S5100	Day care services, adult; per 15 minutes	140	150	6,390	$170	$2.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	44	90	5,060	$60	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minor Med Care, LLC	MS	Rural Health Clinic/Center	$0	$2.4M
Prn Devices Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$1.3M
Lauren Freeman	MS	Physical Therapist	$222.1K	$0
Katherine Garrison	MS	Certified Registered Nurse Anesthetist	$3.3K	$0

Specialty Healthcare — Billing Profile & Reimbursement Data

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Specialty Healthcare — 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