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

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

Abc Homecare Inc. (NPI 1720218753)

Field	Value
Entity Type	Organization
Organization	Abc Homecare Inc.
Address	841 Chamberlain Ave
City	Idaho Falls
State	ID
ZIP	83402
Taxonomy	Licensed Practical Nurse
NPI Enumerated	July 24, 2009

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 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…	12,350	$130	$1.7M
S5130	Homemaker service, nos; per 15 minutes	10,740	$40	$451.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Abc Homecare Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

2 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…	49	100	11,400	$80	$2M
S5130	Homemaker service, nos; per 15 minutes	40	80	12,220	$20	$537.5K

Nearby Providers

Other providers in the same ZIP code as Abc Homecare Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Reach	ID	In Home Supportive Care Agency	$0	$31.9M
Development Workshop, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$10.8M
Tueller Counseling Inc	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.4M
Vista Family Services LLC	ID	Community/Behavioral Health Agency	$0	$6.3M
Answers, LLC	ID	Adult Mental Health Clinic/Center	$0	$5.9M
Jordan E. Higham PA	ID	Pediatric Dentistry	$0	$5.7M
City Of Idaho Falls	ID	Land Ambulance	$900.3K	$4.8M
Riverside Service Group Inc	ID	Developmentally Disabled Services Day Training Agency	$0	$2.9M
D7 Treatment	ID	Community/Behavioral Health Agency	$0	$2.2M
Beehive Rehabilitation And Counseling, PA	ID	Community/Behavioral Health Agency	$0	$1.7M

Abc Homecare Inc. — Billing Profile & Reimbursement Data

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Abc Homecare 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