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

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

1 - & - 1 - Aaa Home Care, Incorporated (NPI 1174937627)

Field	Value
Entity Type	Organization
Organization	1 - & - 1 - Aaa Home Care, Incorporated
Address	324 Caldwell Blvd Ste B
City	Nampa
State	ID
ZIP	83651
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	June 12, 2014

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: there is no Medicare billing on file and all recorded lifetime revenue is Medicaid-based at $12.1M. The absence of Medicare claims indicates the organization’s patient mix and billing focus are concentrated entirely within state Medicaid programs rather than dual-eligible or Medicare populations.

Revenue is extremely concentrated in three home- and personal-care service codes: T1019 ($7M, 57.8% of Medicaid revenue), S5130 ($3.2M, 26.3%), and S5125 ($1.8M, 14.9%); these three codes together account for 99.0% of the provider’s total Medicaid revenue. Such concentration means most of the provider’s financial performance is tied to utilization and reimbursement policies for these specific service categories.

The service-line mix aligns with the provider’s taxonomy as an In Home Supportive Care Agency: the top codes are T1019 (personal care services), S5130 (homemaker services), and S5125 (attendant care services), indicating operations centered on routine personal care, IADL/ADL support, and attendant services rather than skilled clinical or durable medical interventions. Minor billing for T1001 (nursing assessment) and S5135 (companion care) suggests limited ancillary clinical assessment and supportive companionship services.

Claim-level economics show different intensity and reimbursement patterns: T1019 has 50K claims at $140 avg paid/claim, S5130 has 47.5K claims at $67 avg paid/claim, and S5125 has 10.1K claims at $178 avg paid/claim. This mix implies the provider generates large volumes of lower-intensity homemaker and personal care units while attendant care (S5125) is higher-paid per 15-minute unit but represents fewer claim units overall.

State-level competitive standing is solid but not dominant: T1019 ranks #17 of 101 providers in-state (84th percentile) and is described as typical/unremarkable volume, S5130 ranks #11 of 77 (87th percentile) also typical, and S5125 ranks #12 of 44 (74th percentile) typical as well. These rank/percentile positions indicate the provider is an established, mid-to-upper-tier participant in Idaho’s Medicaid personal care market but not among a handful of statewide leaders.

Despite meaningful scale in its top lines, the provider’s revenue profile is narrow: the top three codes represent 99.0% of Medicaid revenue, leaving little diversification across other service codes. That concentration creates sensitivity to any payment or utilization changes affecting T1019, S5130, or S5125 in the state Medicaid program.

The provider shows operational longevity with an NPI enumerated on 2014-06-12 (~12 years ago), supporting the view that current Medicaid volumes are the result of sustained activity rather than a recent startup. Lifetime Medicaid revenue of $12.1M combined with multi-year enrollment suggests an established local footprint in Nampa and surrounding areas.

Secondary codes contribute only marginally to the revenue mix: S5135 generated $95K (0.8% of Medicaid revenue) across 798 claims, T1001 generated $20.6K (0.2%) across 388 claims, and S5120 generated $720 across 40 claims (0.0%). These volumes and ranks (for example S5135 ranks #3 of 7, 67th percentile) indicate these services are ancillary to the core personal-care and homemaker business rather than major revenue drivers.

Medicaid: Complete Services Breakdown

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

6 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…	49,950	$140	$7M
S5130	Homemaker service, nos; per 15 minutes	47,520	$70	$3.2M
S5125	Attendant care services; per 15 minutes	10,140	$180	$1.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	800	$120	$95K
T1001	Nursing assessment / evaluation	390	$50	$20.6K
S5120	Chore services; per 15 minutes	40	$20	$720

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

1 - & - 1 - Aaa Home Care, Incorporated — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	12	40	5,180	$110	$2.3M
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…	17	100	11,400	$80	$2M
S5130	Homemaker service, nos; per 15 minutes	11	80	12,220	$20	$537.5K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	3	10	620	$40	$169.5K
T1001	Nursing assessment / evaluation	20	50	260	$60	$77K
S5120	Chore services; per 15 minutes	2	10	210	$20	$5K

Nearby Providers

Other providers in the same ZIP code as 1 - & - 1 - Aaa Home Care, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Partnerships Of Idaho, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$7.4M
Advocates For Inclusion	ID	Developmentally Disabled Services Day Training Agency	$0	$5.8M
Centerpointe, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$2M
Centerpointe, Inc.	ID	Community/Behavioral Health Agency	$0	$2M
Idaho Therapy Source	ID	Occupational Therapist	$0	$1.9M
Idaho Dept Of Health & Welfare Itp Region 3	ID	Early Intervention Provider Agency	$0	$1.6M
Eyecare Associates Of Nampa PA	ID	Optometrist	$0	$1.3M
Waypoint Developmental Center LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$1.2M
Stellar Mental Health & Mediation, LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1M
Medical Directors Of Idaho PLLC	ID	Internal Medicine Physician	$0	$921.3K

1 - & - 1 - Aaa Home Care, Incorporated — Billing Profile & Reimbursement Data

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1 - & - 1 - Aaa Home Care, Incorporated — 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