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

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

Abrio Family Services & Supports (NPI 1437214335)

Field	Value
Entity Type	Organization
Organization	Abrio Family Services & Supports
Address	4736 N 12th St
City	Phoenix
State	AZ
ZIP	85014
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	December 22, 2006

Payer Source	Total Paid
Medicaid	$82.5M
Medicare	$0

Key Findings

ABRIO FAMILY SERVICES & SUPPORTS is effectively a Medicaid-focused provider with $82.5M in lifetime Medicaid revenue and no Medicare billing on file; the absence of Medicare activity means payer mix is single-payer in practice, concentrating revenue and operational exposure to state Medicaid policy and rates.

Revenue is highly concentrated: the top three Medicaid codes (S5125, T2016, T2017) together account for 88.2% of the provider’s total Medicaid revenue, with S5125 alone generating $42.4M (51.4%), T2016 $19.3M (23.4%), and T2017 $11.1M (13.4%). This concentration makes the provider economically dependent on a small set of service lines and any changes to those codes’ rates or eligibility could materially affect revenue.

The code mix and taxonomy (In Home Supportive Care Agency) indicate operations centered on direct personal care and habilitation services: S5125 (Attendant care services; per 15 minutes) and T2017 (Habilitation, residential, waiver; 15 minutes) point to labor- and time-unit-intensive in-home/waiver support, while T2016 (Habilitation, residential, waiver; per diem) signals a residential habilitation component. Together these suggest a blended business model that provides both community/attendant care and residential waiver services.

S5125 shows very high volume (309.8K claims) with an average paid/claim of $137 and $42.4M in revenue; despite ranking #17 of 223 providers in-state (93th percentile) the record labels this as "typical, unremarkable volume for this code," implying the claimant pattern is large but not outside expected norms for providers offering attendant care at scale. The high claim count and per-15-minute billing unit point to significant workforce and scheduling demands.

Competitive standing varies by service line: the provider ranks strongly in several Medicaid codes tied to direct care — S5125 (#17 of 223, 93th percentile), T2017 (#9 of 63, 87th percentile), and S5150 (#11 of 192, 95th percentile) — indicating it is a major regional participant in attendant care and respite services. By contrast, T2016 (residential, per diem) is ranked #17 of 27 (38th percentile), which suggests a more modest footprint in per-diem residential habilitation relative to the smaller set of in-state peers that bill heavily for that code.

S5150 (Unskilled respite care, not hospice) contributes $9.2M (11.2%) and is labeled as "typical, unremarkable volume for this code" while ranking #11 of 192 (95th percentile), indicating meaningful secondary revenue from respite services that complements the primary attendant- and habilitation-focused lines. Smaller contributions from T2021 and 97535 (combined well under 1% each) show limited diversification into day habilitation and related training services.

The coexistence of high-revenue per-15-minute codes (S5125, T2017, S5150) and a per-diem code (T2016) implies the provider must manage distinct billing, documentation, and staffing models; per-15-minute services suggest granular time tracking and higher administrative load per claim, while per-diem residential services require facility-level operations and different utilization drivers. This mixed billing unit structure likely increases operational complexity compared with single-model providers.

The NPI was enumerated on 2006-12-22 (~20 years ago), signifying a long tenure in the Arizona market; this longevity is consistent with the scale shown in attendant care and waiver services and may reflect established referral channels and experience managing Medicaid program requirements.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	309,770	$140	$42.4M
T2016	Habilitation, residential, waiver; per diem	48,440	$400	$19.3M
T2017	Habilitation, residential, waiver; 15 minutes	156,150	$70	$11.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	118,030	$80	$9.2M
T2021	Day habilitation, waiver; per 15 minutes	3,150	$100	$321.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	2,280	$80	$175.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Abrio Family Services & Supports — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	17	30	76,220	$310	$52.4M
S5125	Attendant care services; per 15 minutes	17	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	9	60	32,290	$90	$9M
T2021	Day habilitation, waiver; per 15 minutes	41	50	19,210	$100	$5.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	11	190	5,090	$100	$2.9M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	127	310	960	$60	$705.5K

Nearby Providers

Other providers in the same ZIP code as Abrio Family Services & Supports, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castle Biosciences, Inc	AZ	Clinical Medical Laboratory	$70.9M	$1.3M
Homeassist Health, Inc	AZ	In Home Supportive Care Agency	$0	$66.1M
Andventure, LLC	AZ	Home Health Agency	$0	$45.8M
Rehema Behavioral Health Clinic LLC	AZ	Community/Behavioral Health Agency	$0	$35.6M
Valle Del Sol, Inc.	AZ	Community/Behavioral Health Agency	$0	$20.9M
Arizona Youth & Family Services, Inc.	AZ	Community/Behavioral Health Agency	$0	$17.1M
Fsl Programs	AZ	Case Management Agency	$0	$16.9M
Netcor Transports LLC	AZ	Non-emergency Medical Transport (VAN)	$0	$14.9M
Valle Del Sol, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$13.4M
Family Involvement Center	AZ	Community/Behavioral Health Agency	$0	$10.8M

Abrio Family Services & Supports — Billing Profile & Reimbursement Data

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Abrio Family Services & Supports — 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

Nearby Providers

Frequently Asked Questions

References