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.

American Business Institute Corp (NPI 1962650622)

Field	Value
Entity Type	Organization
Organization	American Business Institute Corp
Address	4160 Main St Ste 305
City	Flushing
State	NY
ZIP	11355
Taxonomy	Home Health Agency
NPI Enumerated	September 5, 2008

Payer Source	Total Paid
Medicaid	$1.7B
Medicare	$0

Key Findings

AMERICAN BUSINESS INSTITUTE CORP is effectively a Medicaid-focused Home Health Agency: it reports no Medicare billing on file (none below) and $1.68B in lifetime Medicaid revenue, so its commercial/Medicare exposure is negligible while its operating scale is concentrated in state Medicaid programs. The provider’s NPI was enumerated on 2008-09-05 (~18 years ago), indicating long tenure in the market that aligns with substantial cumulative Medicaid billing.

Revenue is highly concentrated in a narrow set of personal-care codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1019 alone representing $1.62B (96.5% of total Medicaid revenue). This concentration signals that the organization’s financial performance depends overwhelmingly on a single service line rather than a diversified clinical mix.

T1019 drives the business and defines the service model: the provider billed 11M claims of T1019 at a $147 avg paid/claim for $1.62B revenue, and the code’s description (personal care services, per 15 minutes, in the home/community setting) implies an operation organized around high-volume, time-based personal care visits rather than facility-based skilled nursing. Given the code prohibits use for certain inpatient/resident settings, the activity appears focused on community/home personal care delivery.

State competitive positioning on T1019 is extreme: the provider ranks #3 of 912 in-state for T1019 and is labeled an "extreme outlier, far above typical state volume for this code" (100th percentile). This ranking indicates the organization is a dominant statewide player for high-volume personal care billed by the 15-minute unit.

T1020 complements the per-15-minute model with per-diem billing: the provider reported 203.4K claims of T1020, $285 avg paid/claim, and $58M revenue (3.5% of total Medicaid revenue), ranking #18 of 354 in-state and described as "notably above typical state volume for this code" (95th percentile). This mix of T1019 and T1020 suggests the agency operates both minute-based personal care visits and some per-diem personal care engagements, reflecting flexibility in service delivery and billing modalities.

Other billed Medicaid codes are negligible relative to the top two: T1030 generated $160.6K in revenue (0.0% of total) from 1.8K claims and ranks #64 of 207 (69th percentile), while T1001 and G0162 produced only minor revenue. These smaller volumes indicate the provider is not materially driving revenue through skilled nursing assessment or management codes and that clinical skilled-care lines are not a primary revenue source.

The provider’s payer mix is effectively single-payer at scale: with no Medicare revenue and $1.68B from Medicaid, the organization’s financial health and utilization patterns are highly exposed to Medicaid policy, rate changes, and state-level program rules. Analysts should treat changes in Medicaid reimbursement or coding guidance for T1019/T1020 as having outsized impact on this entity.

From an operational-risk and strategic viewpoint, the combination of enormous volume (11M claims) and extreme percentile ranking for T1019 makes this provider an outlier in state personal-care delivery; this positioning conveys market dominance in a specific service niche but also concentration risk because one code accounts for 96.5% of its Medicaid revenue. Monitoring utilization mix, state policy shifts for personal care, and any changes in allowable settings for these codes will be critical for forecasting future revenue trends.

Medicaid: Complete Services Breakdown

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

5 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…	11,033,170	$150	$1.6B
T1020	Personal care services, per diem, 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…	203,380	$290	$58M
T1030	Nursing care, in the home, by registered nurse, per diem	1,780	$90	$160.6K
T1001	Nursing assessment / evaluation	50	$100	$4.6K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	10	$70	$830

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

American Business Institute Corp — 2 of 5 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

5 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…	3	910	108,820	$150	$81.8M
T1020	Personal care services, per diem, 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…	18	350	12,660	$310	$13.1M
T1030	Nursing care, in the home, by registered nurse, per diem	64	210	450	$120	$728.3K
T1001	Nursing assessment / evaluation	84	120	150	$130	$514.1K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	50	50	130	$80	$31.5K

Nearby Providers

Other providers in the same ZIP code as American Business Institute Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abi Fi Corp	NY	Home Health Agency	$0	$712.7M
Abest Care Inc	NY	Home Health Agency	$0	$280.5M
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

American Business Institute Corp — Billing Profile & Reimbursement Data

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American Business Institute Corp — 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