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

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

Approved Quality Care Texas, Inc (NPI 1558400333)

Field	Value
Entity Type	Organization
Organization	Approved Quality Care Texas, Inc
Address	632 Canyon Rim Dr
City	Austin
State	TX
ZIP	78746
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	14,350	$500	$7.2M
M0123	N/A	21,250	$80	$1.6M
M0122	N/A	12,750	$70	$931K
H2014	Skills training and development, per 15 minutes	14,450	$40	$520.1K
M0125	N/A	5,090	$90	$478.3K
T2020	Day habilitation, waiver; per diem	2,900	$110	$324.5K
M0116	N/A	8,140	$30	$260.5K
M0115	N/A	3,570	$30	$103.5K
D0120	Periodic oral evaluation - established patient	300	$340	$101.3K
M0113	N/A	190	$390	$72.7K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Approved Quality Care Texas, Inc — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	123	430	5,020	$270	$5.6M
H2014	Skills training and development, per 15 minutes	206	560	9,630	$80	$1.4M
M0123	N/A	19	190	7,520	$80	$861.3K
M0125	N/A	46	70	6,600	$90	$810.4K
M0122	N/A	20	120	6,320	$70	$648K
T2020	Day habilitation, waiver; per diem	143	370	2,050	$70	$306.1K
M0116	N/A	70	240	5,200	$30	$250.7K
M0115	N/A	61	110	3,810	$30	$159.4K
T1002	Rn services, up to 15 minutes	191	430	980	$30	$94.8K
M0113	N/A	42	130	80	$400	$72K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Approved Quality Care Texas, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Educare Community Living Corporation - Texas	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$62M
Educare Community Living Corporation - Texas	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$39.6M
Educare Community Living Corporation - Texas	TX	Community/Behavioral Health Agency	$0	$31.3M
Educare Community Living Corporation - Texas	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$29.7M
Educare Community Living Corporation - Texas	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23.9M
Educare Community Living Corporation - Texas	TX	Community/Behavioral Health Agency	$0	$19.1M
Educare Community Living Corporation - Texas	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15.2M
Monty Tew	TX	Rheumatology Physician	$1.3M	$0
Olivia Chen	TX	MOHS-Micrographic Surgery Physician	$1.1M	$0
Emily Prosise	TX	Dermatology Physician	$910K	$0

Approved Quality Care Texas, Inc — Billing Profile & Reimbursement Data

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Approved Quality Care Texas, 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