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

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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-1 Absolute Best Care (NPI 1548487457)

Field	Value
Entity Type	Organization
Organization	A-1 Absolute Best Care
Address	401 Whitney Ave
City	Gretna
State	LA
ZIP	70056
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 20, 2007

Payer Source	Total Paid
Medicaid	$52M
Medicare	$0

Key Findings

A-1 ABSOLUTE BEST CARE is coded as a Developmentally Disabled Services Day Training Agency and its Medicaid billing is overwhelmingly driven by time-based attendant care: S5125 (Attendant care services; per 15 minutes) is the operational centerpiece, which implies a labor-intensive, schedule-driven service model focused on direct support hours rather than episodic clinical procedures. This code mix is consistent with day-program or in-home attendant services for individuals with developmental disabilities and suggests significant investment in caregiver staffing, time-tracking, and minute-level billing workflows.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and S5125 alone is reported as $52M in revenue (100.0% of this provider's total Medicaid revenue). That concentration indicates the provider’s financial performance is effectively tied to a single service line and a single Medicaid reimbursement mechanism.

Claim volume and per-claim economics underline operational scale: the file shows 433.3K claims for S5125 at a $120 avg paid/claim producing $52M in Medicaid revenue. This level of throughput signals a high-volume billing operation with sustained, uniform reimbursement levels per unit of service, requiring mature claims processing, time documentation, and workforce management systems to support continuous, minute-level billing.

The provider is effectively single-payer in practice: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $52M, so Medicaid is the sole reported payer driving this entity’s revenue. That concentration in payer mix creates direct exposure to state Medicaid policy, fee schedule adjustments, and program eligibility changes, and limits revenue diversification options.

Competitive standing in-state is dominant for its primary code: S5125 ranks #2 of 486 providers in Louisiana and is described as a 100th percentile, extreme outlier far above typical state volume for this code. This places A-1 ABSOLUTE BEST CARE among the very largest providers of attendant-care minutes in the state, indicating significant market share or program-scale contracts for that service type.

The NPI tenure indicates an established operation: the NPI was enumerated on 2007-04-20 (~19 years ago), which supports that this provider has been active and billing in the space for nearly two decades. Long tenure combined with high-volume Medicaid billing suggests operational continuity and experience managing Medicaid-specific program and documentation requirements.

High concentration and outlier status carry oversight and operational risks: being an extreme outlier with very high claim counts and a single-code revenue base increases the likelihood of payer scrutiny, audits, or requests for enhanced documentation; it also places a premium on robust compliance, timekeeping, and quality-assurance processes to sustain reimbursements. These are practical considerations for payers and analysts monitoring program integrity and utilization.

Strategic implications flow from specialization: the narrow service mix focused on S5125 can be a competitive strength—enabling scale, pricing leverage, and operational efficiency in attendant-care delivery—but it also creates business risk if reimbursement rates or service authorization policies change. Analysts should consider whether the provider has pathways for service diversification or contractual relationships (e.g., with managed care plans or regional programs) that could mitigate dependency on a single Medicaid code.

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
S5125	Attendant care services; per 15 minutes	433,290	$120	$52M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

A-1 Absolute Best Care — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	2	490	35,970	$140	$7.3M

Nearby Providers

Other providers in the same ZIP code as A-1 Absolute Best Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr Douglas Mehaffie Md LLC	LA	Urgent Care Clinic/Center	$0	$20.3M
Pediatric Clinic Westbank	LA	Pediatrics Physician	$0	$17.8M
Superior Options Of La Inc	LA	Personal Care Attendant	$0	$14.5M
Vcphcs V, LLC	LA	Substance Use Disorder Rehabilitation Clinic/Center	$186.5K	$13M
Able Life Care Services, Inc	LA	Personal Care Attendant	$0	$12.5M
Personal Care Partners, LLC	LA	In Home Supportive Care Agency	$0	$12.3M
Advanced Personal Care Services, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$10.9M
Pediatrics Kid-med, LLC	LA	Neonatal-Perinatal Medicine Physician	$0	$8.8M
Medcomp Gx, LLC	LA	Clinical Medical Laboratory	$7.8M	$13.7K
Advanced Personal Care Services,inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$7.7M

A-1 Absolute Best Care — Billing Profile & Reimbursement Data

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A-1 Absolute Best Care — 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