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

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

Agape Health Management Inc (NPI 1770826679)

Field	Value
Entity Type	Organization
Organization	Agape Health Management Inc
Address	6349 Lincolnia Rd
City	Alexandria
State	VA
ZIP	22312
Taxonomy	Home Health Agency
NPI Enumerated	March 29, 2013

Payer Source	Total Paid
Medicaid	$158.9M
Medicare	$0

Key Findings

AGAPE HEALTH MANAGEMENT INC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $158.9M in total Medicaid revenue, indicating Medicaid is the sole documented source of programmatic reimbursement. The absence of Medicare activity suggests its business mix and patient panel are concentrated in state Medicaid populations rather than Medicare beneficiaries.

Revenue is highly concentrated in very small number of service codes: the top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, signaling a narrow service portfolio or billing focus. This concentration means financial performance is tightly coupled to utilization and payment rates for those specific codes.

T1019 dominates the provider’s Medicaid billing profile: T1019 generated 808.7K claims, $174 avg paid/claim, and $140.7M revenue, representing 88.5% of the provider’s Medicaid revenue. The code’s description (personal care services, per 15 minutes, as part of an individualized plan of treatment) combined with this scale indicates the agency’s operations are overwhelmingly focused on delivering personal care/supportive services rather than skilled home-health nursing.

T1019 competitive standing is extreme within the state: AGAPE ranks #1 of 758 providers in-state for T1019 (100th percentile; extreme outlier), which signals market dominance in personal care service volume and places it far above typical state volumes for that code. For payers and competitors, this level of concentration positions AGAPE as a major supplier of personal care capacity in the Alexandria/VA market.

T1005 (respite care services) is the second major revenue driver: the provider reported 194K claims, $91 avg paid/claim, and $17.7M revenue from T1005, accounting for 11.1% of its Medicaid revenue. AGAPE ranks #2 of 574 providers in-state for T1005 (100th percentile; extreme outlier), indicating significant scale in respite service delivery in addition to personal care.

G2021 contributes a very small share by dollar but is an outlier in unit cost and state rank: G2021 produced 518 claims at $1046 avg paid/claim for $541.8K (0.3% of Medicaid revenue), and AGAPE ranks #4 of 293 providers in-state (99th percentile; extreme outlier). This suggests occasional high-value billed encounters (treatment-in-place tips) complement the agency’s core personal-care and respite services.

The provider’s tenure shows established presence: the NPI was enumerated on 2013-03-29 (~13 years ago), indicating over a decade of participation in the payer ecosystem. That longevity, together with the concentrated service footprint, implies a mature, specialized operation likely structured around Medicaid long-term services and supports (LTSS) workflows.

For payers and network planners, key implications are clear: AGAPE is a dominant in-state source for Medicaid personal care and respite services, with very high volume and state-leading ranks for T1019 and T1005. Contracting, utilization oversight, and rate negotiations should focus on these specific codes given they represent 100.0% of the provider’s Medicaid revenue and therefore drive most financial and operational risk.

Medicaid: Complete Services Breakdown

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

3 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…	808,690	$170	$140.7M
T1005	Respite care services, up to 15 minutes	194,010	$90	$17.7M
G2021	Health care practitioners rendering treatment in place (tip)	520	$1,050	$541.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Agape Health Management Inc — 3 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

3 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…	1	760	17,620	$150	$5.5M
T1005	Respite care services, up to 15 minutes	2	570	4,400	$80	$831.8K
G2021	Health care practitioners rendering treatment in place (tip)	4	290	40	$790	$56.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington Home Care Inc	VA	Home Health Agency	$0	$70M
Agape Health Management, Inc	VA	Adult Day Care Clinic/Center	$0	$18.1M
Dm Care, Inc	VA	Adult Day Care Clinic/Center	$0	$14.5M
Grace Providers Home Health Care Inc.	VA	Home Health Agency	$0	$7.5M
Pcl Lab LLC	VA	Clinical Medical Laboratory	$132.4K	$1.2M
Awail Sadiq	VA	Interventional Cardiology Physician	$530K	$0

Agape Health Management Inc — Billing Profile & Reimbursement Data

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Agape Health Management 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