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

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

Area Agency On Aging 1-b (NPI 1881837110)

Field	Value
Entity Type	Organization
Organization	Area Agency On Aging 1-b
Address	31700 Middlebelt Rd Ste 140
City	Farmington Hills
State	MI
ZIP	48334
Taxonomy	Case Management Agency
NPI Enumerated	April 16, 2009

Payer Source	Total Paid
Medicaid	$143.1M
Medicare	$0

Key Findings

AREA AGENCY ON AGING 1-B is effectively a single-payer Medicaid operator: it has no Medicare billing on file and reports $143.1M in lifetime Medicaid revenue. The absence of Medicare activity means its scale, reimbursement risk, and contracting leverage are concentrated entirely within Medicaid programs. This single-payer profile should be a primary lens for any competitive or reimbursement analysis of the entity.

Revenue is highly concentrated in a small number of service lines: the precomputed top three Medicaid codes account for 83.6% of the provider's Medicaid revenue. H2015 alone represents $61.9M (43.3% of total Medicaid revenue), T1019 contributes $34.8M (24.3%), and T2022 adds $22.9M (16.0%), indicating the organization depends heavily on these services for the majority of its Medicaid receipts.

The code mix aligns with the provider taxonomy of Case Management Agency and suggests an operational focus on community-based support and long-term services: H2015 (Comprehensive community support services, per 15 minutes) and T1019 (Personal care services, per 15 minutes) together reflect high-volume hands-on support and wraparound community services, while T2022 (Case management, per month) indicates a sustained care coordination function. High claim counts for these codes (H2015: 696K claims; T1019: 337.5K claims; T2022: 34.6K claims) show this is a high-throughput provider delivering predominantly community and home-based services.

For competitive standing within Michigan, AREA AGENCY ON AGING 1-B is a dominant outlier on selected codes. It ranks #10 of 614 providers for H2015 at the 99th percentile and is labeled an extreme outlier, signaling far above-typical state volume for that community support service; it also ranks #6 of 63 (92th percentile) for T1019 and #11 of 42 (76th percentile) for T2022, indicating leading statewide presence on its largest revenue streams.

Beyond the top three, the provider shows notable specialization in other Medicaid service areas with concentrated ranks despite smaller revenue shares. Examples include S5170 (Home delivered meals) with 300.2K claims, $3M revenue and a #3 of 36 rank (94th percentile, notably above typical), B4150 (Enteral formula) with 35.6K claims, $142.6K revenue and a #1 of 53 rank (100th percentile, extreme outlier), and S0209 (Wheelchair van, mileage) with 8.7K claims, $564.3K revenue and a #1 of 6 rank (100th percentile). These high ranks on specialized ancillary services suggest the organization operates a broad set of community supports beyond core personal care and case management.

The concentration in a few high-volume, per-15-minute and per-month service codes implies both operational scale and potential reimbursement sensitivity: large volumes of time-based services (H2015 and T1019) mean revenue is tied to sustained delivery capacity and minute-level billing rules, while T2022 case management revenue depends on maintaining enrolled caseloads and monthly billing eligibility. Any policy or rate changes to those specific codes could materially affect the provider's revenue given the 83.6% concentration in the top three codes.

Tenure data show stability in enrollment: the provider's NPI was enumerated on 2009-04-16 (~17 years ago), indicating long-term participation in Medicaid markets. That tenure, combined with the high-volume, high-rank footprint on several codes, supports the interpretation that AREA AGENCY ON AGING 1-B is an established regional operator concentrated in Medicaid-funded community supports and personal care.

While the provider is large in Medicaid terms, the profile also highlights diversification risks and strategic strengths. Strengths include dominant statewide positions on key community support and transportation-related codes, but dependence on a handful of time-based Medicaid codes (top three = 83.6% of Medicaid revenue) suggests limited payer diversification and potential vulnerability to coding or reimbursement changes specific to those services.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	695,980	$90	$61.9M
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…	337,480	$100	$34.8M
T2022	Case management, per month	34,620	$660	$22.9M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	13,180	$650	$8.6M
H2016	Comprehensive community support services, per diem	50,710	$90	$4.4M
S5170	Home delivered meals, including preparation; per meal	300,210	$10	$3M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	21,330	$120	$2.5M
A0130	Non-emergency transportation: wheelchair van	8,820	$110	$943.8K
S0215	Non-emergency transportation; mileage, per mile	29,690	$20	$653.2K
S5121	Chore services; per diem	7,110	$80	$576.2K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Area Agency On Aging 1-b — 4 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

22 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…	6	60	2,340	$70	$19.6M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	12	20	33,460	$380	$14M
T2022	Case management, per month	11	40	3,310	$490	$9.4M
H2016	Comprehensive community support services, per diem	43	300	6,660	$310	$8.7M
H2015	Comprehensive community support services, per 15 minutes	10	610	14,740	$90	$6M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	12	40	4,680	$30	$4M
T2025	Waiver services; not otherwise specified (nos)	18	30	2,980	$100	$2.3M
S5170	Home delivered meals, including preparation; per meal	3	40	43,690	$20	$1.8M
A0130	Non-emergency transportation: wheelchair van	4	30	1,150	$90	$1.7M
S5121	Chore services; per diem	5	20	2,170	$130	$745.5K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Area Agency On Aging 1-b, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centria Healthcare LLC	MI	Home Health Agency	$0	$591M
Michigan Healthcare Professionals PC	MI	Internal Medicine Physician	$0	$106.2M
Glendale Neurological Associates P C	MI	Neurology Physician	$0	$52.6M
Centria Healthcare	MI	Clinic/Center	$0	$10.1M
Bioprecision Laboratories, Inc.	MI	Clinical Medical Laboratory	$7M	$1.4K
Martin Belkin	MI	Neurology Physician	$4.7M	$0
Joshua Grant	MI	Ophthalmology Physician	$1.3M	$0
Michigan Endoscopy Center LLC	MI	Ambulatory Surgical Clinic/Center	$1M	$11.9K
Ronald Bergman	MI	Ophthalmology Physician	$593.7K	$0
Aaron Ellenbogen	MI	Neurology Physician	$549.8K	$0

Area Agency On Aging 1-b — Billing Profile & Reimbursement Data

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Area Agency On Aging 1-b — 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