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

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

Ability Home Care, Inc. (NPI 1285956300)

Field	Value
Entity Type	Organization
Organization	Ability Home Care, Inc.
Address	1241 Se Indian St Ste 109
City	Stuart
State	FL
ZIP	34997
Taxonomy	Attendant Care Provider
NPI Enumerated	February 16, 2010

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.

5 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…	72,880	$60	$4.1M
S5130	Homemaker service, nos; per 15 minutes	91,260	$30	$2.8M
T1004	Services of a qualified nursing aide, up to 15 minutes	47,840	$60	$2.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	18,090	$30	$578.9K
T1005	Respite care services, up to 15 minutes	1,440	$60	$80.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Ability Home Care, Inc. — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

5 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…	108	760	13,520	$50	$2.5M
S5130	Homemaker service, nos; per 15 minutes	87	1,070	11,250	$40	$1.3M
T1004	Services of a qualified nursing aide, up to 15 minutes	51	510	7,390	$50	$958.8K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	120	540	5,780	$40	$596.2K
T1005	Respite care services, up to 15 minutes	46	70	2,290	$40	$154K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Positive Behavior Supports	FL	Community/Behavioral Health Agency	$0	$131.4M
Richard Krathen	FL	MOHS-Micrographic Surgery Physician	$1.4M	$0
Stephen Chastain	FL	Cardiovascular Disease Physician	$508.5K	$0
Sara Pratt	FL	Adult Health Nurse Practitioner	$424.3K	$0
Michele Thune Capobianco	FL	Nurse Practitioner	$358K	$0
Richard Weisberg	FL	Family Medicine Physician	$169.5K	$0
Publix Super Markets Inc	FL	Community/Retail Pharmacy	$101.1K	$0
John Serbes Mccain	FL	Podiatrist	$60.9K	$0
Michael Mackechnie	FL	Sports Medicine (Orthopaedic Surgery) Physician	$25.4K	$0

Ability Home Care, Inc. — Billing Profile & Reimbursement Data

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Ability Home Care, Inc. — 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