Agency
Upstate Medical Staffing, INC.
Upstate Medical Staffing, INC. was paid $9.30M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 73% of everything it billed.
33Billing provider infoUPSTATE MEDICAL STAFFING, INC.
ANDERSON, SC 29621
ANDERSON, SC 29621
33aNPI1215274212assigned 01/10/2013
33bProvider typeHome Health Agency
28Total paid$9.30M
24GClaims218,019
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in South Carolina
Rank by total paid#5 of 93
Median peer was paid$678K
This provider vs. median14×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 29,179 | $875K | |
| 2019 | 44,577 | $1.45M | |
| 2020 | 35,733 | $1.11M | |
| 2021 | 34,862 | $1.11M | |
| 2022 | 31,580 | $1.23M | |
| 2023 | 21,819 | $1.48M | |
| 2024incomplete | 20,269 | $2.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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 services provided by home health aide or certified nurse assistant) | 73% | 119,746 | 6,707 | $6.81M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 19% | 81,685 | 4,667 | $1.73M |
| T1005 | Respite care services, up to 15 minutes | 5.2% | 4,860 | 450 | $487K |
| A4554 | Disposable underpads, all sizes | <1% | 2,629 | 2,589 | $86K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 1,144 | 1,131 | $58K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 1,446 | 1,435 | $42K |
| T5999 | Supply, not otherwise specified | <1% | 5,838 | 5,781 | $41K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 297 | 296 | $20K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | <1% | 312 | 307 | $14K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 34 | 34 | $3K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 28 | 28 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPENNELL, JAMES (PRESIDENT)