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.

Alternative Services, Inc. (NPI 1033293097)

Field	Value
Entity Type	Organization
Organization	Alternative Services, Inc.
Address	32625 7 Mile Rd
City	Livonia
State	MI
ZIP	48152
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$84.1M
Medicare	$0

Key Findings

ALTERNATIVE SERVICES, INC. is effectively a Medicaid-centered provider: it has no Medicare billing on file and reports Total Medicaid revenue of $84.1M, indicating the organization is functionally single-payer in scale and dependent on Medicaid for its operating revenue. This concentration means payers and partners should view its financial profile through the Medicaid program lens rather than split payer dynamics.

Three codes dominate the Medicaid revenue mix: H2016 (59.5%), T1020 (22.2%), and H2015 (10.3%), and the platform flags that the top three codes together account for 92.0% of the provider's total Medicaid revenue. Operationally this shows revenue is highly concentrated in a small set of service lines, so changes to reimbursement, medical necessity criteria, or program rules for any of these codes could materially affect the provider's topline.

The code mix points to a specialized service footprint: H2016 (Comprehensive community support services, per diem) and H2015 (Comprehensive community support services, per 15 minutes) together imply a core business of structured community support and Medicaid-funded care management, while T1020 (Personal care services, per diem) indicates sizeable delivery of hands-on personal care services. The presence of H0043 (Supported housing, per diem) at $4.6M (5.4% of revenue) and H2014 (Skills training and development) at $1.4M (1.7%) further suggests the organization operates a blended model of residential/supported housing plus habilitation and skills-building programs.

Competitive standing within Michigan is solid for the top revenue codes: H2016 ranks #18 of 297 (94th percentile) and T1020 ranks #15 of 221 (94th percentile), both labeled as "typical, unremarkable volume" despite the high percentiles. H2015 ranks #61 of 614 (90th percentile) and is also described as "typical, unremarkable volume," indicating that while this provider is a high-volume in-state participant for these services, its activity falls within expected patterns for providers of this specialty rather than representing an extreme statistical outlier.

Service-delivery implications from the billing units mix: H2016 is billed per diem ($50M revenue, 99.1K claims, $505 avg paid/claim) while H2015 is billed per 15 minutes (143.9K claims, $60 avg paid/claim), indicating the provider monetizes both daily residential-style placements and time-based community support encounters. This combination suggests operations that include both continuous/residential supports and billed, discrete person-centered service encounters, which has implications for staffing models, documentation practices, and utilization management.

Although the provider is a major Medicaid revenue generator in its niche, there are no Medicare data to assess crossover or dual-eligibility revenue streams—Medicare revenue is listed as none. That absence means payer review should focus on Medicaid contract terms, state waiver rules, and Medicaid utilization patterns rather than Medicare-driven dynamics.

Tenure is long-standing: the NPI was enumerated on 2006-10-25 (~20 years ago), which signals institutional longevity and likely established relationships with state Medicaid programs and managed care plans. For contracting and network analysis, this tenure supports assumptions of operational stability and historical engagement with in-state Medicaid systems.

Across the itemized codes, the vendor-level statistical labels provided are consistently "typical, unremarkable volume" (for H2016, T1020, H2015, H0043, H2014, T2027, H2023), and there are no flags indicating extreme outlier behavior. In practical terms, the provider appears to be a concentrated but customary in-state operator of intellectual/developmental disabilities residential and community support services rather than an anomalous billing outlier.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	99,090	$510	$50M
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…	96,860	$190	$18.7M
H2015	Comprehensive community support services, per 15 minutes	143,910	$60	$8.6M
H0043	Supported housing, per diem	9,390	$490	$4.6M
H2014	Skills training and development, per 15 minutes	59,200	$20	$1.4M
T2027	Specialized childcare, waiver; per 15 minutes	13,320	$30	$399.6K
H2023	Supported employment, per 15 minutes	6,250	$50	$312.4K

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

Alternative Services, Inc. — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	18	300	6,660	$310	$8.7M
H2015	Comprehensive community support services, per 15 minutes	61	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	30	40	23,640	$70	$4.8M
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…	15	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	71	130	10,330	$210	$4.5M
H2014	Skills training and development, per 15 minutes	36	130	20,660	$50	$3.8M
H2023	Supported employment, per 15 minutes	53	110	5,150	$90	$1.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Medical Team, Inc	MI	Home Health Agency	$0	$16.5M
Michigan Ophthalmology Specialists, PLLC	MI	Ophthalmology Physician	$0	$12.1M
Premier Medicine PC	MI	Internal Medicine Physician	$0	$10.5M
Livonia Outpatient Surgery Center, LLC	MI	Ambulatory Surgical Clinic/Center	$809.2K	$1.3M
Steven Katzman	MI	Internal Medicine Physician	$1.5M	$0
David Ellenberg	MI	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Nossonal Kleinfeldt	MI	Ophthalmology Physician	$577.1K	$0
Nabil Suliman	MI	Internal Medicine Physician	$381.8K	$0
Ala Shuker	MI	Internal Medicine Physician	$308.3K	$0
Mark Marrone	MI	Nephrology Physician	$277.5K	$0

Alternative Services, Inc. — Billing Profile & Reimbursement Data

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Alternative Services, Inc. — 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