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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Able Home Health Care, LLC (NPI 1134227465)

Field	Value
Entity Type	Organization
Organization	Able Home Health Care, LLC
Address	1078 Nc Hwy 48
City	Roanoke Rapids
State	NC
ZIP	27870
Taxonomy	Personal Care Attendant
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$10.3M
Medicare	$0

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
99509	A 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.	123,470	$50	$5.6M
S5125	Attendant care services; per 15 minutes	49,810	$100	$4.8M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Able Home Health Care, LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	72	400	15,030	$100	$3M
99509	A 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.	98	1,450	23,320	$50	$2.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring Life Behavioral Care LLC	NC	Non-emergency Medical Transport (VAN)	$0	$37.4M
New Beginnings Day Treatment Center, LLC	NC	Developmentally Disabled Services Day Training Agency	$0	$16.4M
Park Avenue Pediatrics PA	NC	Pediatrics Physician	$0	$10.6M
Home Life Care Inc	NC	In Home Supportive Care Agency	$0	$10.3M
Holt Assessment Services	NC	Community/Behavioral Health Agency	$0	$10.1M
Halifax Regional Medical Center Inc	NC	General Acute Care Hospital	$0	$9.6M
Rural Health Group, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$7.1M
Morse Clinic Of Roanoke Rapids, PC	NC	Methadone Clinic	$73K	$2.5M
Brian Crichlow	NC	Ophthalmology Physician	$429.5K	$0
Ddp Pharmacy, Inc	NC	Community/Retail Pharmacy	$414.6K	$13.9K

Able Home Health Care, LLC — Billing Profile & Reimbursement Data

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Able Home Health Care, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References