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

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

A.w. Holdings, LLC (NPI 1316158983)

Field	Value
Entity Type	Organization
Organization	A.w. Holdings, LLC
Address	8515 Bluffton Rd
City	Fort Wayne
State	IN
ZIP	46809
Taxonomy	Intellectual & Developmental Disabilities Psychologist
NPI Enumerated	May 25, 2007

Payer Source	Total Paid
Medicaid	$260.2M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file and all documented revenue is Medicaid-based, totaling $260.2M. The entity’s NPI was enumerated on 2007-05-25 (~19 years ago), indicating a long-tenured Medicaid billing presence but no recorded Medicare participation to date.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 74.5% of the provider’s total Medicaid revenue, driven by H2016 ($110.5M, 42.5%), T2016 ($54.6M, 21.0%), and T1016 ($28.6M, 11.0%). This concentration indicates the business is focused on a narrow set of high-revenue service lines rather than a broad mix of Medicaid billings.

The code mix points to an operation centered on intensive community and residential supports plus large-scale case management. H2016 (Comprehensive community support services, per diem) and T2016 (Habilitation, residential, waiver; per diem) together generate the majority of revenue, while T1016 (Case management, each 15 minutes) and T2022 (Case management, per month) reflect an extensive case-management infrastructure supporting those residential and community services.

H2016 stands out as a unique in-state reporting item: the provider ranks #1 of 1 providers in-state for H2016 (0th percentile; no state peer volume comparison available), which suggests it is the sole Medicaid biller in the dataset for this comprehensive community support per-diem service and likely occupies a specialized niche for that service type. Several other specialized codes are also reported as #1 of 1 in-state (for example H0037, T1026, T1024, T2024), reinforcing the presence of niche or specialized program lines.

The provider is a major statewide participant on several high-volume codes. T1016 ranks #3 of 52 providers in-state (96th percentile) and is described as notably above typical state volume, and T2016 ranks #5 of 65 providers (94th percentile) with a typical volume characterization — together these ranks indicate the provider is a leading regional operator for case management and residential habilitation services. At the same time, for some services its rank is modest (for example 99600 ranks #13 of 126, 90th percentile), showing variable competitive strength across line items.

T2022 (Case management, per month) is an identifiable statistical outlier within the provider’s Medicaid portfolio: it has 61.5K claims generating $18.6M (7.1%) of revenue and ranks #4 of 101 providers in-state (97th percentile; extreme outlier, far above typical state volume). This pattern points to unusually heavy monthly case-management billing, implying sustained, recurring service relationships rather than one-off encounters.

Operationally, H2016 has both high per-claim payment and substantial volume (9.2K claims at $11967 avg paid/claim yielding $110.5M), indicating resource-intensive, high-reimbursement per-diem services that likely require significant programmatic infrastructure and staffing. By contrast, T1016 shows huge claim volume (651.1K claims at $44 avg paid/claim for $28.6M), signaling a labor- and encounter-intensive case-management operation that scales by frequent short-interval billing.

Beyond its top three drivers, the provider also bills a range of habilitation and behavioral services (for example T2021 $11.9M, 4.6% of revenue; 97155 $1.6M, 0.6% of revenue; 97153 $1.1M, 0.4% of revenue), which suggests the organization pairs residential and community supports with hands-on habilitation and adaptive behavior treatment offerings. These secondary codes are generally ranked in the middle-to-upper percentiles statewide, indicating complementary service lines that support the core community/residential/case-management business model.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	9,230	$11,970	$110.5M
T2016	Habilitation, residential, waiver; per diem	68,740	$800	$54.6M
T1016	Case management, each 15 minutes	651,110	$40	$28.6M
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	77,180	$340	$25.9M
T2022	Case management, per month	61,470	$300	$18.6M
T2021	Day habilitation, waiver; per 15 minutes	4,790	$2,480	$11.9M
T2020	Day habilitation, waiver; per diem	8,120	$230	$1.9M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	11,370	$140	$1.6M
T1017	Targeted case management, each 15 minutes	36,020	$40	$1.5M
T2015	Habilitation, prevocational, waiver; per hour	6,250	$230	$1.4M

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

A.w. Holdings, LLC — 5 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	1	10	9,230	$11,970	$110.5M
H2014	Skills training and development, per 15 minutes	31	50	75,600	$130	$34.8M
T2016	Habilitation, residential, waiver; per diem	5	70	3,190	$630	$14.7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	28	100	3,740	$430	$7.7M
T2021	Day habilitation, waiver; per 15 minutes	1	10	960	$2,330	$4.7M
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	13	130	15,770	$110	$3.9M
T1016	Case management, each 15 minutes	3	50	8,980	$30	$3.8M
T2020	Day habilitation, waiver; per diem	22	60	5,550	$110	$1.4M
T2022	Case management, per month	4	100	710	$180	$1.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	13	80	1,360	$150	$1M

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with A.w. Holdings, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Victoria Molinaro Laguardia	VA	Speech-Language Pathologist	$45K	$0

Nearby Providers

Other providers in the same ZIP code as A.w. Holdings, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthony Wayne Rehabilitation Center For Handicapped & Blind, Inc	IN	Developmentally Disabled Services Day Training Agency	$0	$7.8M
Kool Smiles In Ft. Wayne, PC	IN	General Practice Dentistry	$0	$7.7M
Aw Holdings Of New Mexico LLC	IN	Community/Behavioral Health Agency	$0	$3.5M
Erin Shaw	IN	Family Nurse Practitioner	$42.4K	$0
Herbert Acker	IN	Family Medicine Physician	$27.8K	$0

A.w. Holdings, LLC — Billing Profile & Reimbursement Data

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A.w. Holdings, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References