Managed care
Ability First, LLC
Ability First, LLC was paid $48.94M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 54% of everything it billed.
33Billing provider infoABILITY FIRST, LLC
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
33aNPI1477685139assigned 03/09/2007
33bProvider typeExclusive Provider Organization
28Total paid$48.94M
24GClaims211,162
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,116 | $2.88M | |
| 2019 | 9,542 | $3.19M | |
| 2020 | 22,970 | $5.39M | |
| 2021 | 26,632 | $6.89M | |
| 2022 | 43,212 | $9.02M | |
| 2023 | 55,445 | $12.20M | |
| 2024incomplete | 46,245 | $9.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 54% | 84,247 | 2,638 | $26.59M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 30% | 83,150 | 3,481 | $14.69M |
| H2021 | Community-based wrap-around services, per 15 minutes | 13% | 33,119 | 2,575 | $6.54M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 1.6% | 8,974 | 776 | $793K |
| T1002 | Rn services, up to 15 minutes | <1% | 1,246 | 733 | $147K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | <1% | 149 | 143 | $143K |
| T1005 | Respite care services, up to 15 minutes | <1% | 277 | 24 | $39K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHERMAN, RYAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Theraplay4kidz, LLC | Scottsdale, AZ | $47.19M |
| Heartland Therapy, INC. | Mesa, AZ | $4.22M |
| Achievement Therapy Services | Scottsdale, AZ | $3.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.