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

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

Ameribest Home Care, LLC (NPI 1093954711)

Field	Value
Entity Type	Organization
Organization	Ameribest Home Care, LLC
Address	990 Spring Garden St Ste 201
City	Philadelphia
State	PA
ZIP	19123
Taxonomy	Home Health Agency
NPI Enumerated	February 19, 2009

Payer Source	Total Paid
Medicaid	$55.3M
Medicare	$0

Key Findings

AMERIBEST HOME CARE, LLC is effectively a single-payer operation in the available records: there is no Medicare billing on file while total Medicaid revenue is $55.3M, indicating the provider’s billed activity is concentrated in Medicaid-funded services. This asymmetry means payer-specific analyses should focus on Medicaid trends and policy impacts rather than Medicare comparators.

Revenue is extremely concentrated in a single Medicaid code: W1793 accounts for $55.3M in revenue and represents 100.0% of this provider’s total Medicaid revenue. The precomputed top-3 codes also sum to 100.0% of Medicaid revenue, confirming a highly concentrated revenue mix tied to a very small set of billable services.

The code mix and taxonomy (Home Health Agency) suggest the business model centers on a high-volume, routine home-care service billed under W1793. W1793 appears as 335K claims with a $165 avg paid/claim, which is consistent with repeated, encounter- or unit-based home health provision rather than low-frequency episodic procedures.

AMERIBEST is a major in-state competitor for W1793: it ranks #3 of 369 providers in Pennsylvania and sits in the 99th percentile, a position described as notably above typical state volume for this code. That ranking indicates the provider is a dominant statewide participant for the specific service represented by W1793.

Other Medicaid codes are negligible in scale: T1016 shows 14 claims, $45 avg paid/claim and $630 revenue (0.0% of this provider’s Medicaid revenue) and ranks #151 of 155 providers in-state (1th percentile), a usage level characterized as typical and unremarkable. This suggests little revenue diversification across ancillary case-management or non-core services.

The provider has an established operational history, with its NPI enumerated on 2009-02-19 (~17 years ago), supporting the interpretation that the current high-volume W1793 billing pattern is sustained rather than a transient spike. Combined longevity and the 335K-claim volume indicate mature operational capacity for the coded service.

From a risk and opportunity perspective, the near-total reliance on W1793 creates sensitivity to reimbursement, audit focus, or policy changes affecting that code; conversely, the provider’s clear scale in W1793 could be a competitive asset if payers or partners prioritize that service line. Analysts should therefore monitor any regulatory or rate changes for W1793 and consider whether diversification or documentation strategy is evident in other codes, where current activity is minimal.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W1793	N/A	335,030	$170	$55.3M
T1016	Case management, each 15 minutes	10	$50	$630

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Ameribest Home Care, LLC — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W1793	N/A	3	370	10,930	$170	$5.8M
T1016	Case management, each 15 minutes	151	160	2,180	$80	$965.8K

Nearby Providers

Other providers in the same ZIP code as Ameribest Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Philadelphia	PA	Land Ambulance	$8.3M	$108.1M
Visiting Nurse Group, Inc	PA	Home Health Agency	$0	$66.4M
Northeast Treatment Centers, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.8M
Pmhcc Ctt Inc	PA	Case Management Agency	$0	$27.5M
Greater Philadelphia Health Action Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$21M
St. John's Community Services	PA	Developmentally Disabled Services Day Training Agency	$0	$18.2M
Northeast Treatment Centers. Inc.	PA	Community/Behavioral Health Agency	$0	$15.3M
Family Practice & Counseling Services Network, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$13.3M
Gaudenzia Inc	PA	Community/Behavioral Health Agency	$0	$13.2M
Public Health Management Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$11.8M

Ameribest Home Care, LLC — Billing Profile & Reimbursement Data

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Ameribest Home Care, LLC — Billing Profile & Reimbursement Data

Sign up for Ameribest Home Care, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References