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.

Ability Home Care, LLC (NPI 1407388424)

Field	Value
Entity Type	Organization
Organization	Ability Home Care, LLC
Address	505 N Main St
City	Woodstock
State	VA
ZIP	22664
Taxonomy	Home Health Agency
NPI Enumerated	March 29, 2017

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

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 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…	48,040	$130	$6.4M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1,470	$50	$66.1K
G2021	Health care practitioners rendering treatment in place (tip)	50	$840	$43.6K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	140	$70	$10.2K

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

Ability Home Care, LLC — 0 of 4 codes 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

4 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…	188	760	17,620	$150	$5.5M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	74	210	790	$60	$199.5K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	102	160	260	$90	$128.3K
G2021	Health care practitioners rendering treatment in place (tip)	115	290	40	$790	$56.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shenandoah Memorial Hospital, Inc.	VA	Critical Access Hospital	$0	$23.5M
Shenandoah County Board Of Supervisors	VA	Land Ambulance	$878.1K	$610.5K
Richard Kent	VA	Foot & Ankle Surgery Podiatrist	$99.8K	$59.5K
John Pulizzi	VA	Surgery Physician	$32.2K	$0
Katherine Grey	VA	Speech-Language Pathologist	$26.4K	$0
Jonathan O'neal	VA	Anesthesiology Physician	$8K	$0

Ability Home Care, LLC — Billing Profile & Reimbursement Data

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Ability Home Care, LLC — 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