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

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

Big Sandy Area Agency On Aging (NPI 1609917079)

Field	Value
Entity Type	Organization
Organization	Big Sandy Area Agency On Aging
Address	110 Resource Ct
City	Prestonsburg
State	KY
ZIP	41653
Taxonomy	Supports Brokerage Agency
NPI Enumerated	February 9, 2007

Payer Source	Total Paid
Medicaid	$56.2M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-focused organization: there is no Medicare billing on file and total Medicaid revenue is $56.2M, indicating a single-payer footprint concentrated in state Medicaid programs. The absence of Medicare activity limits comparability on Medicare-facing service lines and suggests the entity’s operational focus and revenue risk are tied to Medicaid policy and reimbursement.

Revenue is extremely concentrated in a very small set of services: the precomputed top three Medicaid codes account for 99.5% of the provider’s total Medicaid revenue. In particular, S5108 generates $48.1M (85.6% of Medicaid revenue), T2040 generates $7.4M (13.2%), and T1999 generates $392.7K (0.7%), which together comprise virtually all reported Medicaid billing.

The code mix indicates core operations are centered on home-based support and brokerage-style services: S5108 (Home care training to home care client, per 15 minutes) alone represents $48.1M in revenue from 343.5K claims at a $140 avg paid/claim, implying high-volume, short-interval in-home training or caregiver supervision as the primary revenue driver. This service profile aligns with the provider’s taxonomy as a Supports Brokerage Agency and suggests frontline activity is delivered in many brief units rather than large episodic encounters.

T2040 (Financial management, self-directed, waiver; per 15 minutes) is the second major revenue stream with 21K claims, a $353 avg paid/claim, and $7.4M in revenue, indicating a sizeable administrative/financial management function for self-directed waiver participants. The presence of both S5108 and T2040 at scale suggests the organization pairs hands-on home-care training with back-office financial management services for self-directed care models.

Smaller code lines—T1999 (1.3K claims, $308 avg paid/claim, $392.7K), T1016 (1.9K claims, $97 avg paid/claim, $184.9K), and T1005 (1.2K claims, $61 avg paid/claim, $71.6K)—represent ancillary offerings such as retail therapeutic items, case management, and respite, but together make up a very small share of revenue. These ancillary services appear to be complementary to the core training and financial management work rather than standalone revenue centers.

Competitive standing is mixed by service line: for S5108 the provider ranks #10 of 101 in-state (91th percentile; notably above typical state volume for this code), marking it as one of the larger in-state providers for home care training. By contrast, T2040 ranks #16 of 43 (64th percentile; typical, unremarkable volume) and T1999 ranks #20 of 36 (46th percentile; typical, unremarkable volume), indicating those lines are middling in statewide presence.

The extreme reliance on S5108 creates operational and revenue concentration implications: with 85.6% of Medicaid revenue tied to a single code and the top three codes accounting for 99.5% of Medicaid revenue, the provider’s financial performance is highly sensitive to changes in utilization patterns, state coverage policy, or reimbursement rates for those specific codes. Strategic or regulatory shifts affecting short-interval home care training or waiver financial-management billing could materially affect total revenue.

The provider has an established tenure in the system, with an NPI enumerated (registered) on 2007-02-09 (~19 years ago), which signals a long-standing operational presence in the state market. That longevity combined with a top-10 in-state rank on S5108 suggests an entrenched niche in delivering home-care training and support-brokerage services within Kentucky’s Medicaid ecosystem.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5108	Home care training to home care client, per 15 minutes	343,510	$140	$48.1M
T2040	Financial management, self-directed, waiver; per 15 minutes	21,050	$350	$7.4M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1,280	$310	$392.7K
T1016	Case management, each 15 minutes	1,910	$100	$184.9K
T1005	Respite care services, up to 15 minutes	1,170	$60	$71.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Big Sandy Area Agency On Aging — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5108	Home care training to home care client, per 15 minutes	10	100	43,820	$140	$16.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	16	40	14,910	$160	$3.5M
T1016	Case management, each 15 minutes	42	60	3,410	$120	$970.5K
T1005	Respite care services, up to 15 minutes	54	80	2,880	$70	$799.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	20	40	1,370	$160	$315.4K

Nearby Providers

Other providers in the same ZIP code as Big Sandy Area Agency On Aging, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Comprehensive Care Center, Inc.	KY	Mental Health Counselor	$0	$243M
Mountain Comprehensive Care Center	KY	Case Management Agency	$0	$65.1M
Arh Tug Valley Health Services, Inc.	KY	General Acute Care Hospital	$0	$33.8M
Highlands Hospital Corp	KY	Cardiovascular Disease Physician	$0	$15.9M
Jt Associates, Inc	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.6M
Commonwealth Counseling Centers LLC	KY	Substance Abuse Rehabilitation Facility	$0	$7.1M
Alan Hyden	KY	Pediatric Dentistry	$0	$6.4M
East Kentucky Rehabilitation Center	KY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6M
Eastern Kentucky Tender Care Pediatrics LLC	KY	Rural Health Clinic/Center	$0	$5.2M
Floyd Emergency Group, LLC	KY	Emergency Medicine Physician	$0	$4.2M

Big Sandy Area Agency On Aging — Billing Profile & Reimbursement Data

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Big Sandy Area Agency On Aging — 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