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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Aba Inc (NPI 1114014685)

Field	Value
Entity Type	Organization
Organization	Aba Inc
Address	821 Kennedy St Nw
City	Washington
State	DC
ZIP	20011
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$80.8M
Medicare	$0

Key Findings

ABA INC reports $80.8M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a Medicaid-focused provider rather than a dual-payer operation. This payer mix indicates the business is operating almost entirely within the Medicaid program rather than relying on Medicare volumes or Medicare-driven service lines.

Revenue is highly concentrated in a very small set of services: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1019 alone representing $79M (97.8% of Medicaid revenue) and G0299 contributing $1.8M (2.2% of Medicaid revenue). This concentration makes the provider’s financial profile heavily dependent on a single service category.

The taxonomy and code mix point to an in-home supportive care business model centered on non-skilled personal assistance: T1019 is defined as personal care services per 15 minutes and drives virtually all revenue. The smaller G0299 component reflects a limited skilled nursing presence (direct RN skilled nursing in home health/hospice), suggesting the organization predominantly delivers personal care rather than clinical home-health services.

Operational scale is reflected in very high claim volumes for its dominant service: T1019 shows 534.1K claims at an average paid/claim of $148, while G0299 shows 16.4K claims at $107 avg paid/claim. These figures are consistent with a high-volume, lower-dollar-per-claim model typical of in-home personal care delivery.

In-state competitive standing is mixed: for its primary code T1019 the provider ranks #5 of 29 providers in-state (86th percentile; typical, unremarkable volume for this code), indicating it is among the larger state providers for this service but not uniquely dominant. For G0299 it ranks #13 of 32 providers in-state (61th percentile; typical, unremarkable volume for this code), characterizing the provider as a modest participant in the skilled nursing-in-home segment.

The provider has long tenure in the market, with an NPI enumerated on 2006-10-06 (~20 years ago), which supports the interpretation of an established operational footprint and experience in managing Medicaid personal care flows and billing processes. Longevity may contribute to network relationships and program knowledge within state Medicaid systems.

Because $79M of the $80.8M Medicaid revenue is tied to a single code (T1019 at 97.8%), the organization is operationally and financially sensitive to reimbursement policy changes, eligibility or utilization reviews that affect personal care billing. Any significant policy shifts, rate adjustments, or administrative changes targeting personal care services could materially affect overall revenue.

Given the absence of Medicare billing on file and the near-total concentration of revenue in T1019, ABA INC appears positioned as a Medicaid-centric personal care provider with a limited clinical nursing footprint. This profile suggests its competitive strategy and growth opportunities are likely concentrated on Medicaid program dynamics and state-level personal care markets rather than on expanding into Medicare-funded home health services.

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
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…	534,050	$150	$79M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	16,430	$110	$1.8M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Aba Inc — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

2 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…	5	30	405,140	$140	$47.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	13	30	13,380	$80	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Community Services, Inc.	DC	Home Health Agency	$0	$145.9M
National Children's Center, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$101M
Capital Care, Inc	DC	Home Health Agency	$0	$83.4M
Premium Select Home Care Inc	DC	Home Health Agency	$0	$63.9M
Ideal Nursing Services Inc	DC	Home Health Agency	$0	$58M
Total Care Services, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$54.7M
Metro Homes Inc	DC	Developmental Disabilities Clinic/Center	$0	$45.1M
Citycare Health Services, Inc	DC	Community/Behavioral Health Agency	$0	$36.4M
Janilcar Inc	DC	Durable Medical Equipment & Medical Supplies	$0	$32.7M
Dc Health Care Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.2M

Aba Inc — Billing Profile & Reimbursement Data

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Aba Inc — 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