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

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

Abbeycare, Inc. Home Health Care Agency (NPI 1992837033)

Field	Value
Entity Type	Organization
Organization	Abbeycare, Inc. Home Health Care Agency
Address	1148 Grand Ave
City	Saint Paul
State	MN
ZIP	55105
Taxonomy	Home Health Agency
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$70.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a Medicaid-focused operator, reporting $70.6M of lifetime Medicaid revenue with no Medicare revenue to offset or diversify payer exposure. The NPI was enumerated 2007-03-12 (~19 years ago), indicating an established presence in the market but a single-payer concentration in practice.

Revenue is highly concentrated: the top 3 Medicaid codes by revenue (T1019, S5130, S5135) account for 82.8% of the provider's total Medicaid revenue, signaling dependence on a narrow set of services for the majority of cash flow. That concentration suggests material sensitivity to rate or utilization changes for those specific service lines.

T1019 (Personal care services, per 15 minutes) is the largest single revenue driver at $29.3M and 41.4% of Medicaid revenue, with 472K claims and an average paid/claim of $62. The provider ranks #12 of 225 in-state (95th percentile) for T1019, a volume profile described as notably above typical state volume, which supports the interpretation that home-based personal care is a core operational focus.

S5130 (Homemaker service, per 15 minutes) is the second-largest revenue source at $15.4M and 21.8% of Medicaid revenue, with 314.7K claims and an average paid/claim of $49. The provider ranks #2 of 236 in-state (100th percentile) and is labeled an extreme outlier, indicating they are a dominant statewide supplier of homemaker services and likely occupy a strong competitive position in that segment.

S5135 (Companion care, adult, per 15 minutes) contributes $13.8M and 19.5% of Medicaid revenue with 86K claims and an average paid/claim of $160. The provider ranks #4 of 52 in-state (94th percentile) and is characterized as having typical, unremarkable volume for this code, suggesting companion care is a meaningful but not uniquely dominant part of the business mix.

H2015 (Comprehensive community support services, per 15 minutes) appears as a meaningful additional revenue line with $11.7M and 16.6% of Medicaid revenue, 80.4K claims and an average paid/claim of $146. The provider ranks #2 of 139 in-state (99th percentile) and is described as an extreme outlier for this code, indicating substantial activity in community support services that may reflect behavioral health or intensive care coordination capabilities beyond basic personal care.

Operational scale is reflected in very large claim counts for per-15-minute codes (472K claims for T1019 and 314.7K claims for S5130), consistent with a high-volume, low-unit-payment model typical of in-home personal care and homemaker service delivery. The mix of low average paid/claim codes (e.g., $49 for S5130) alongside higher-paid per-claim services (e.g., $160 for S5135 and $146 for H2015) indicates variation in service intensity across the portfolio.

Smaller lines of business are present but limited in impact: S5150 (Unskilled respite care) accounts for $434.3K (0.6% of Medicaid revenue), ranking #10 of 19 in-state (50th percentile) and described as typical volume. This reinforces that the provider’s financial profile is driven overwhelmingly by personal care, homemaker, and companion/community support codes rather than a broad diversified service set.

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…	472,000	$60	$29.3M
S5130	Homemaker service, nos; per 15 minutes	314,670	$50	$15.4M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	85,980	$160	$13.8M
H2015	Comprehensive community support services, per 15 minutes	80,370	$150	$11.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	2,680	$160	$434.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Abbeycare, Inc. Home Health Care Agency — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota 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…	12	230	37,580	$70	$8.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	4	50	5,600	$170	$5.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	10	20	2,680	$150	$3.4M
S5130	Homemaker service, nos; per 15 minutes	2	240	7,130	$40	$1M
H2015	Comprehensive community support services, per 15 minutes	2	140	2,300	$110	$700.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elite Recovery LLC	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$12.2M
Jt Hoeschen Inc	MN	Community/Retail Pharmacy	$150.3K	$1.1K
Walgreen Co	MN	Pharmacy	$133.1K	$690
Grand St Paul Cvs LLC	MN	Pharmacy	$131.1K	$0
Gervais Patrick Moche	MN	Family Medicine Physician	$29.1K	$0

Abbeycare, Inc. Home Health Care Agency — Billing Profile & Reimbursement Data

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Abbeycare, Inc. Home Health Care Agency — 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