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

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

Abby & Antonio Inc. (NPI 1346697067)

Field	Value
Entity Type	Organization
Organization	Abby & Antonio Inc.
Address	2915 Hungary Rd
City	Henrico
State	VA
ZIP	23228
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 23, 2016

Payer Source	Total Paid
Medicaid	$13.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	7,180	$1,840	$13.2M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Abby & Antonio Inc. — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	45	140	4,450	$1,150	$15.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homechoice Partners LLC	VA	Home Infusion Therapy Pharmacy	$0	$23.5M
Merakey Allos	VA	Community/Behavioral Health Agency	$0	$22.5M
Familylife Services I, LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$20.6M
Associated Behavioral Outcomes & Developmental Experts Of Va, Inc.	VA	Community/Behavioral Health Agency	$0	$12.4M
Royal Medical Transportation	VA	Ambulance	$0	$10.9M
Attachment And Trauma Institute, LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$9.9M
Museif Alallouch	VA	Non-emergency Medical Transport (VAN)	$0	$8.5M
Apria Healthcare LLC	VA	Durable Medical Equipment & Medical Supplies	$0	$7.5M
River City Residential Services, LLC	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$7.3M
Lalibela Transportation LLC	VA	Non-emergency Medical Transport (VAN)	$0	$6.4M

Abby & Antonio Inc. — Billing Profile & Reimbursement Data

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Abby & Antonio 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