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

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

Avail Home Health, Inc. (NPI 1750457529)

Field	Value
Entity Type	Organization
Organization	Avail Home Health, Inc.
Address	4706 W Nob Hill Blvd
City	Yakima
State	WA
ZIP	98908
Taxonomy	Home Health Registered Nurse
NPI Enumerated	November 25, 2006

Payer Source	Total Paid
Medicaid	$34.7M
Medicare	$0

Key Findings

AVAIL HOME HEALTH, INC. is effectively a single-payer Medicaid provider: it reports no Medicare billing on file and $34.7M in lifetime Medicaid revenue, indicating Medicaid is the sole material government payer driving its reported business activity. The provider’s taxonomy (Home Health Registered Nurse) and billing footprint are consistent with an organization focused on home nursing services rather than institutional or Medicare-driven post-acute care lines.

Revenue is extremely concentrated in very few codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with two listed codes alone representing the overwhelming share. In particular, T1000 represents $33.2M (95.7% of this provider's total Medicaid revenue) and T1002 represents $1.5M (4.3% of this provider's total Medicaid revenue), leaving negligible revenue outside these service lines.

The code mix and average paid amounts indicate the business is built around short-interval, visit-based nursing services. T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes) has 66.8K claims at $497 avg paid/claim and $33.2M revenue, and T1002 (Rn services, up to 15 minutes) has 2.9K claims at $520 avg paid/claim and $1.5M revenue; together these suggest a high-volume, short-visit private-duty nursing model rather than lower-frequency, higher-intensity home health episodes.

AVAIL is a dominant statewide supplier for the top revenue-driving code: T1000 ranks #1 of 14 providers in-state (100th percentile) and is described as notably above typical state volume for this code, signaling market leadership in private-duty nursing within its state. By contrast, its activity in T1002 is modest by state standards (rank #22 of 64, 67th percentile) and characterized as typical/unremarkable, indicating it is not a top competitor across all RN service codes.

The claim volumes underline operational scale and throughput: processing 66.8K claims for T1000 versus 2.9K for T1002 shows a highly skewed service mix where nearly all patient encounters are short-interval private-duty nursing visits. The associated averages ($497 and $520 paid/claim) further indicate these short visits are billed at relatively high per-claim rates for home nursing services, which amplifies revenue concentration around T1000.

With an NPI enumeration date of 2006-11-25 (~20 years ago) and a narrow service mix dominated by a small set of Medicaid codes, AVAIL appears to be an established, specialized home nursing operator in Yakima, WA. The longevity suggests operational continuity and market entrenchment that likely supported building the large T1000 volume over time.

The extreme concentration (95.7% of Medicaid revenue from T1000) creates a clear operational sensitivity: changes in Medicaid policy, reimbursement for T1000, or in-state competition for that code could materially affect revenue given the lack of Medicare diversification and minimal revenue from other Medicaid codes. Conversely, the provider’s #1 statewide position on T1000 could present leverage for contract discussions or targeted expansion of adjacent service lines if the organization chose to diversify.

From a competitive-intelligence perspective, AVAIL’s profile flags it as a major local incumbent for private-duty, short-interval nursing services but a modest participant on other RN-coded services. Analysts assessing market entry, rate negotiation, or policy impact should prioritize T1000 dynamics and local competitor moves among the 14 providers that participate materially in that code in-state.

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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	66,810	$500	$33.2M
T1002	Rn services, up to 15 minutes	2,860	$520	$1.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Avail Home Health, Inc. — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1	10	14,140	$490	$12.6M
T1002	Rn services, up to 15 minutes	22	60	1,140	$100	$493.3K

Nearby Providers

Other providers in the same ZIP code as Avail Home Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Derek Thompson Dmd Patrick Ferguson Dds, PLLC	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$20.9M
Se Wa Office Of Aging & Long Term Care	WA	Case Management Agency	$0	$6.7M
Derek Thompson Dmd Patrick Ferguson Dds, PLLC	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.3M
Lawrence Cacchiotti	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.2M
Carlos Dorantes	WA	General Practice Dentistry	$0	$3.7M
Neal H. Smith Dmd PLLC	WA	Pediatric Dentistry	$0	$2.8M
David Krueger	WA	Cardiovascular Disease Physician	$493.1K	$0
Robert Ortiz	WA	Cardiovascular Disease Physician	$216.3K	$0
Gabriel Lascar	WA	Internal Medicine Physician	$98.7K	$0
Kyle Prescott	WA	Physical Therapist	$84.4K	$0

Avail Home Health, Inc. — Billing Profile & Reimbursement Data

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Avail Home Health, Inc. — 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