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    OpenPayerNPI Medicare & MedicaidAbundant Life Home Health, Inc.
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    Abundant Life Home Health, Inc. — Billing Profile & Reimbursement Data

    NPI 1386786234 · Brownsville, TX · Home Health Agency

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    Abundant Life Home Health, Inc. is a home health agency provider located in Brownsville, Texas. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAbundant Life Home Health, Inc.
    Address1900 Pecan St.
    CityBrownsville
    StateTX
    ZIP78520
    TaxonomyHome Health Agency
    NPI EnumeratedFebruary 13, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$68.7M
    Medicare$0

    Key Findings

    This provider is effectively single-payer at scale: ABUNDANT LIFE HOME HEALTH, INC. reports no Medicare billing on file and $68.7M in lifetime Medicaid revenue, so Medicaid entirely dominates its reported public-payer activity. The absence of Medicare activity means analysts should treat Medicaid trends as the primary lens for assessing this entity's business and utilization patterns.

    Revenue is extremely concentrated in a single service line: the top 3 Medicaid codes by revenue account for 99.8% of this provider's total Medicaid revenue, with S5125 alone responsible for $63.7M (92.7% of Medicaid revenue). That concentration indicates the organization’s financial performance is highly dependent on a narrow set of timed personal/attendant care services.

    S5125 (Attendant care services; per 15 minutes) is the operational core of the business: the provider submitted 1.1M S5125 claims with an average paid/claim of $59 and $63.7M revenue, and it ranks #31 of 1678 providers in-state (98th percentile). This combination of massive claim volume and a top-state percentile rank signals the organization is a major statewide supplier of attendant-care minutes rather than a diversified home-health nursing shop.

    T1005 (Respite care services, up to 15 minutes) and T1019 (Personal care services, per 15 minutes) are complementary but much smaller revenue streams: T1005 generated $2.6M (3.8% of Medicaid revenue) across 67.4K claims at $39 avg paid/claim and ranks #18 of 564 in-state (97th percentile), while T1019 produced $2.3M (3.3% of Medicaid revenue) across 68.2K claims at $33 avg paid/claim and ranks #235 of 1050 (78th percentile). These volumes indicate the provider also offers respite and personal care services at above-typical state volumes for T1005 but only typical volumes for T1019.

    Clinical nursing services are minimal relative to attendant care: S9124 (Nursing care, in the home; LPN per hour) accounts for $107.7K (0.2% of Medicaid revenue) with 3.7K claims and a $29 avg paid/claim, and ranks #24 of 61 in-state (62th percentile). The small share and lower rank for S9124 further underline that this agency’s mix is focused on personal/attendant support rather than skilled in-home nursing.

    From a competitive-stance perspective, the provider is a dominant state-level player for timed attendant and respite units: high percentile ranks for S5125 (98th) and T1005 (97th) mark it as a top supplier of those specific services statewide, while its position on T1019 (78th) is unremarkable. That profile suggests bargaining and operational influence within the attendant/respite market segment, but limited presence in other home-health service lines.

    The provider exhibits extremely high utilization for its primary code: 1.1M S5125 claims indicate sustained, high-frequency delivery of 15-minute attendant units. Combined with the average paid/claim figures ($59 for S5125, $39 for T1005, $33 for T1019), this reflects a business model built on delivering many short-duration care units rather than fewer, higher-intensity clinical visits.

    Tenure is long enough to indicate established operations: the NPI was enumerated on 2007-02-13 (~19 years ago), so this entity has an extended presence in the market. Given the heavy revenue concentration in a small set of timed personal-care codes, analysts should monitor policy, rate, or utilization-review changes affecting S5125/T1005/T1019 because any material change to coverage or payment for those codes could disproportionately affect the provider’s financials.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes1,079,650$60$63.7M
    T1005Respite care services, up to 15 minutes67,410$40$2.6M
    T1019Personal 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…68,200$30$2.3M
    S9124Nursing care, in the home; by licensed practical nurse, per hour3,720$30$107.7K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes311,68050,290$60$9.5M
    S9124Nursing care, in the home; by licensed practical nurse, per hour24602,200$330$2.5M
    T1019Personal 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…2351,05023,280$30$1.8M
    T1005Respite care services, up to 15 minutes185608,490$50$842.3K

    Nearby Providers

    Other providers in the same ZIP code as Abundant Life Home Health, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caring For You Home Health, IncTXHome Health Agency$0$101.8M
    Carewell IncTXHome Health Agency$0$35.7M
    San Angel Primary Home Care LLCTXPersonal Care Attendant$0$25.9M
    Alivio Home Health IncTXPersonal Care Attendant$0$24.4M
    Amor Health Services, Inc.TXPersonal Care Attendant$0$20.6M
    Angeles Guardianes Home Health, Inc.TXPersonal Care Attendant$0$15.8M
    Vhs Brownsville Hospital Company LLCTXGeneral Acute Care Hospital$0$14M
    Tesoros De La Fe Home Health, LLC.TXHome Health Agency$0$13.5M
    Acclaim Health Services, Inc.TXHome Health Agency$0$13M
    Tropics Dental PLLCTXDentist$0$11.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Texas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Abundant Life Home Health, Inc. — 2 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas