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    OpenPayerNPI Medicare & MedicaidAbarim Home Health Care Inc.
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    Abarim Home Health Care Inc. — Billing Profile & Reimbursement Data

    NPI 1013272707 · Albuquerque, NM · Community Based Hospice Care Agency

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    Abarim Home Health Care Inc. is a community based hospice care agency provider located in Albuquerque, New Mexico. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAbarim Home Health Care Inc.
    Address1100 Rhode Island St Ne
    CityAlbuquerque
    StateNM
    ZIP87110
    TaxonomyCommunity Based Hospice Care Agency
    NPI EnumeratedJuly 9, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$66M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in the federal programs we track: there is no Medicare billing on file for ABARIM HOME HEALTH CARE INC. while its lifetime Medicaid revenue is $66M, indicating that Medicaid is the material source of public-program revenue for this entity. Analysts should treat Medicaid trends as representing the core of this provider's public-payor business.

    Revenue is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes (99509, S5125, T1019) account for 93.1% of the provider's total Medicaid revenue. Those three codes alone sum to $32.2M (99509), $16M (S5125), and $13.2M (T1019), indicating a narrow revenue base that depends on hands-on personal and attendant care services.

    The mix of dominant codes signals a home-based personal care/attendant-care operational model: 99509 describes home health provider visits to assist with ADLs, S5125 is attendant care billed per 15 minutes, and T1019 is personal care services per 15 minutes. Together these codes imply ABARIM delivers high-volume, direct care support in clients' homes rather than relying on episodic skilled nursing or durable medical supply lines.

    ABARIM is a leading in-state provider for attendant care by volume: S5125 shows 171.7K claims, $93 avg paid/claim, $16M revenue (24.2% of Medicaid revenue) and ranks #3 of 45 providers in-state (95th percentile), characterized as notably above typical state volume. This rank and claim volume indicate the provider is a major competitor in the attendant-care segment within New Mexico.

    For home-health provider visits and personal care services the provider displays typical to unremarkable statewide positioning: 99509 has 93.3K claims, $345 avg paid/claim, $32.2M revenue (48.8% of Medicaid revenue) and ranks #14 of 82 (84th percentile; typical, unremarkable volume), while T1019 has 167.5K claims, $79 avg paid/claim, $13.2M revenue (20.1% of Medicaid revenue) and ranks #27 of 89 (70th percentile; typical, unremarkable volume). These placements suggest strong absolute volume but not dominant statewide leadership for those specific codes.

    The provider also generates secondary revenue from care-coordination and monitoring: G9006 (coordinated care fee, home monitoring) accounts for $4M (6.0% of Medicaid revenue) with 18.5K claims at $215 avg paid/claim and ranks #14 of 79 providers in-state (83th percentile; typical, unremarkable volume). This indicates a meaningful but smaller revenue stream in remote monitoring/care coordination alongside direct personal care.

    There are notable statistical intensity signals in low-dollar lines that may reflect focused program participation rather than material revenue impact: G9012 (other specified case management) ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume) but represents $75.3K (0.1% of Medicaid revenue) on 1.2K claims at $62 avg paid/claim. The provider’s top claims mix therefore includes small, high-percentile specialties that are not revenue-driving.

    The provider has an established operational tenure: its NPI was enumerated on 2012-07-09 (~14 years ago), which supports interpreting current high-volume Medicaid billing patterns as the product of a multi-year, steady-state service operation rather than a recent entrant or transient program.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.93,320$350$32.2M
    S5125Attendant care services; per 15 minutes171,710$90$16M
    T1019Personal 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…167,540$80$13.2M
    G9006Coordinated care fee, home monitoring18,480$220$4M
    S5110Home care training, family; per 15 minutes1,300$350$452.7K
    S9999Sales tax4,590$20$78K
    G9012Other specified case management service not elsewhere classified1,210$60$75.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Mexico median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.148020,990$310$16.4M
    T1019Personal 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…279092,900$70$13.3M
    S5125Attendant care services; per 15 minutes35010,600$100$4.3M
    G9006Coordinated care fee, home monitoring14803,840$190$2M
    S5110Home care training, family; per 15 minutes740340$200$202.4K
    S9999Sales tax17160800$10$25.2K
    G9012Other specified case management service not elsewhere classified110160$60$20.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    1st Care Of New Mexico LLCNMIn Home Supportive Care Agency$0$86.5M
    Community Options, IncNMChild Intellectual and/or Developmental Disabilities Respite Care$0$76.7M
    New Mexico Department Of HealthNMCustomized Equipment (DME)$0$60.4M
    Independent Living Resource CenterNMPersonal Care Attendant$0$57.7M
    Ability First, LLCNMExclusive Provider Organization$0$49M
    Alta Mira Specialized Family Services, Inc.NMCommunity/Behavioral Health Agency$0$46.2M
    Southwest Family Guidance Center LLCNMAdolescent and Children Mental Health Clinic/Center$0$32.7M
    Aid Home Health Care Services LLC.NMHome Health Agency$0$32.4M
    Active Solutions IncorporatedNMDevelopmentally Disabled Services Day Training Agency$0$31.3M
    Great Livin', LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$27.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Mexico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Abarim Home Health Care Inc. — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico