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

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

Detroit Area Agency On Aging (NPI 1104997121)

Field	Value
Entity Type	Organization
Organization	Detroit Area Agency On Aging
Address	1333 Brewery Park Blvd Ste 200
City	Detroit
State	MI
ZIP	48207
Taxonomy	Case Management Agency
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicaid	$177.2M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-focused organization: there is no Medicare billing on file and lifetime Medicaid revenue is $177.2M, indicating near-complete reliance on Medicaid for reimbursed services. The absence of Medicare activity means payer mix risk is concentrated in state Medicaid policy and enrollment dynamics.

Revenue is highly concentrated in a very small set of services: the top three Medicaid codes account for 92.5% of total Medicaid revenue, with T1019 alone contributing $123.1M (69.5% of Medicaid revenue). That concentration implies operational and financial dependence on a few service lines rather than a diversified billing portfolio.

The code mix and volumes point to a core business model centered on home- and community-based long-term services and supports: T1019 (personal care services) and T2022 (case management, per month) together drive the vast majority of revenue, and S5170 (home delivered meals) is the third major line. These codes and their claim counts (T1019: 1.7M claims; T2022: 101.9K claims; S5170: 552.3K claims) indicate the provider delivers large-scale personal care, ongoing care coordination, and meal programs for community-dwelling beneficiaries.

Competitive standing across key Medicaid codes shows dominance in several in-state markets: T2022 ranks #1 of 42 providers in-state and is labeled an "extreme outlier" at the 100th percentile, and S5170 also ranks #1 of 36 providers and is a 100th-percentile extreme outlier. T1019 ranks #2 of 63 providers and sits in the 98th percentile, described as typical but high-volume; collectively these ranks identify the provider as a leading statewide supplier of case management and meal delivery, and a top-tier provider of personal care services.

Beyond the top three, the organization bills a breadth of supportive services consistent with comprehensive HCBS operations: notable lines include S5121 (chore services, $3.4M, #1 of 18, 100th percentile), S5165 (home modifications, $1.9M, #1 of 3, 100th percentile), and T2003 (non-emergency transportation, $2M, #3 of 64, 97th percentile). These additional revenue streams, while much smaller than the top three, confirm a multi-service approach to aging and community support that spans equipment, environmental adaptations, and transportation.

Operational scale implications are evident from claim-level averages and volumes: T1019 shows 1.7M claims at $71 avg paid/claim and T2022 shows 101.9K claims at $352 avg paid/claim, reflecting both high-frequency personal care encounters and sustained monthly case management billing. Managing these two very different utilization patterns likely drives staffing, billing infrastructure, and care-coordination capabilities.

Although the provider shows leadership in several Medicaid categories, the income base is narrow—top-three concentration at 92.5%—which creates sensitivity to changes in policy, reimbursement or program eligibility affecting T1019, T2022, or S5170. Multiple top-code labels include "extreme outlier" or "notably above typical" for state comparisons, signaling that shifts in Medicaid program rules for those specific codes would disproportionately affect this organization.

The organization has an established market presence, with its NPI enumerated on 2006-11-13 (~20 years ago), which supports the interpretation that its dominant role in select Medicaid service lines is longstanding rather than newly emergent. That tenure, combined with extreme high-state rankings in core codes, suggests entrenched operational relationships within Michigan's Medicaid waiver and HCBS ecosystem.

Medicaid: Complete Services Breakdown

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

18 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…	1,733,540	$70	$123.1M
T2022	Case management, per month	101,850	$350	$35.9M
S5170	Home delivered meals, including preparation; per meal	552,320	$10	$5M
H2015	Comprehensive community support services, per 15 minutes	91,030	$50	$4.7M
S5121	Chore services; per diem	37,440	$90	$3.4M
T2003	Non-emergency transportation; encounter/trip	35,710	$60	$2M
S5165	Home modifications; per service	560	$3,370	$1.9M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	26,580	$30	$664.5K
T2024	Service assessment/plan of care development, waiver	1,630	$220	$354.9K
G9012	Other specified case management service not elsewhere classified	720	$120	$88.2K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Detroit Area Agency On Aging — 8 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	2	60	2,340	$70	$19.6M
T2022	Case management, per month	1	40	3,310	$490	$9.4M
H2015	Comprehensive community support services, per 15 minutes	92	610	14,740	$90	$6M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	9	40	4,680	$30	$4M
S5170	Home delivered meals, including preparation; per meal	1	40	43,690	$20	$1.8M
S5121	Chore services; per diem	1	20	2,170	$130	$745.5K
S5165	Home modifications; per service	1	10	30	$3,370	$685.1K
T2003	Non-emergency transportation; encounter/trip	3	60	780	$40	$618.3K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	43	50	1,510	$70	$292K
S5199	Personal care item, nos, each	8	20	70	$1	$267.5K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Detroit Area Agency On Aging, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Team Wellness Center	MI	Community Health Clinic/Center	$0	$208.4M
Quality Behavioral Health, Inc.	MI	Community/Behavioral Health Agency	$0	$38.9M
Darren Kilgore	MI	Community Health Worker	$0	$24.7M
Franklin-wright Settlements, Inc.	MI	In Home Supportive Care Agency	$0	$9M
Stallworth Afc #1 Corporation	MI	Contractor	$0	$7.5M
County Of Wayne	MI	Case Management Agency	$0	$7.3M
John Head	MI	Psychiatry Physician	$186.1K	$0
Faye Zuhairy	MI	Psychiatry Physician	$89.3K	$0
Beverly Armstrong	MI	Mental Health Counselor	$78.2K	$0
Vinod Goyal	MI	Nephrology Physician	$74.6K	$0

Detroit Area Agency On Aging — Billing Profile & Reimbursement Data

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Detroit Area Agency On Aging — 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