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

Why is the Medicaid comparison limited to New York 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. New York (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.

Abest Care Inc (NPI 1952852113)

Field	Value
Entity Type	Organization
Organization	Abest Care Inc
Address	4160 Main St Ste 309
City	Flushing
State	NY
ZIP	11355
Taxonomy	Home Health Agency
NPI Enumerated	October 21, 2016

Payer Source	Total Paid
Medicaid	$280.5M
Medicare	$0

Key Findings

ABEST CARE INC has no Medicare billing on file and reports $280.5M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid operator at the scale shown; this concentration means its financial footprint in public-pay healthcare is almost entirely driven by Medicaid flows. The provider’s NPI was enumerated on 2016-10-21 (~10 years ago), indicating roughly a decade of active enrollment under the Home Health Agency taxonomy.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with T1019 alone representing $279.1M (99.5% of Medicaid revenue), T1022 contributing $1.4M (0.5%), and 99199 accounting for $6.8K (0.0%). This dependence on a very small set of codes means most payer, utilization, and audit exposure will track the policy and reimbursement trends for those specific service lines.

The operational profile is dominated by personal care services: T1019 (T1019 – Personal care services, per 15 minutes) drives the vast majority of revenue and shows 2.1M claims at an average paid per claim of $132, consistent with a high-frequency, per-15-minute billing model for community-based personal care rather than Medicare-skilled home health episodes. Given the Home Health Agency taxonomy, the mix suggests the organization functions more as a Medicaid personal care provider than as a Medicare-skilled home health supplier.

T1022 (Contracted home health agency services, all services provided under contract, per day) represents a small but meaningful secondary revenue stream (7.9K claims, $182 avg paid/claim, $1.4M revenue) and ranks #6 of 334 in-state (98th percentile). That ranking indicates ABEST CARE occupies a major role among providers using per-day contracted arrangements in New York even though T1022 is only 0.5% of the provider’s Medicaid revenue, suggesting targeted contracting relationships or program-specific placements.

Competitive standing for the dominant code is mixed: T1019 ranks #54 of 912 providers in-state (94th percentile), placing ABEST CARE well above the median statewide volume for that code, yet the dataset’s descriptor for that ranking is “typical, unremarkable volume for this code.” In plain terms, the provider is a high-volume Medicaid personal care supplier relative to most peers, but the observed activity is not flagged as an extreme or anomalous outlier in the underlying comparators.

The rarely used miscellaneous code 99199 is negligible in financial impact (29 claims, $233 avg paid/claim, $6.8K revenue) and ranks #137 of 167 (18th percentile), reflecting minimal reliance on non-specific procedure reporting. This low usage further reinforces that care delivery and billing are concentrated in well-defined Medicaid personal care and contracted-agency codes rather than a broad mix of ad hoc services.

From a payer-risk and strategic perspective, the absence of Medicare revenue combined with the fact that T1019 accounts for 99.5% of Medicaid receipts creates a concentration risk: any Medicaid policy, rate, or programmatic changes affecting T1019 reimbursement or eligibility could materially affect the provider’s revenue base. Analysts evaluating ABEST CARE should treat it as a Medicaid-focused personal care operator with significant exposure to state-level Medicaid program shifts rather than a diversified home health enterprise.

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…	2,114,210	$130	$279.1M
T1022	Contracted home health agency services, all services provided under contract, per day	7,930	$180	$1.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	30	$230	$6.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Abest Care Inc — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York 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…	54	910	108,820	$150	$81.8M
T1022	Contracted home health agency services, all services provided under contract, per day	6	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	137	170	80	$20	$68.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Business Institute Corp	NY	Home Health Agency	$0	$1.7B
Abi Fi Corp	NY	Home Health Agency	$0	$712.7M
Newyork-presbyterian-queens	NY	General Acute Care Hospital	$0	$116.4M
Flushing Hospital & Medical Center	NY	General Acute Care Hospital	$0	$52.8M
Z & W Empire Enterprise, Inc.	NY	Adult Day Care Clinic/Center	$0	$37.5M
Confidence Home Care LLC	NY	Home Health Agency	$0	$34.8M
Bright Horizon Prime Care Inc	NY	Home Health Agency	$0	$33.3M
Bao Kang Adult Daycare Center Inc.	NY	Adult Day Care Clinic/Center	$0	$31.9M
Greater New York Social And Health Adult Day Care	NY	Adult Day Care Clinic/Center	$0	$28.1M
Zhiqing Social Day Care, Inc.	NY	Adult Day Care Clinic/Center	$0	$24M

Abest Care Inc — Billing Profile & Reimbursement Data

Sign up for Abest Care Inc — Billing Profile & Reimbursement Data policy alerts

Abest Care Inc — Billing Profile & Reimbursement Data

Sign up for Abest Care Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References