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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Alicia Prentice (NPI 1073286126)

Field	Value
Entity Type	Individual
Organization	Alicia Prentice
Address	5062 Forts Straede
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Home Health Aide
NPI Enumerated	July 26, 2021

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file (Total Medicare revenue: none) and is effectively a single-payer Medicaid operator with Total Medicaid revenue: $3.9M, indicating the provider’s entire documented commercial footprint in federal programs is concentrated in Medicaid. The absence of Medicare activity contrasts with many home-based care entities that bill both programs and suggests payer-specific exposure to state Medicaid policy and reimbursement changes.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and a single code, T1019, represents $3.9M revenue (99.9% of this provider's total Medicaid revenue). This level of concentration means the provider’s financial profile is driven almost entirely by one service line, amplifying operational and revenue risk tied to that code’s utilization and reimbursement.

The code mix and taxonomy (Home Health Aide) point to a business model centered on personal care services rather than skilled nursing: T1019 (Personal care services, per 15 minutes) is by far the revenue driver with 3.9K claims and $993 avg paid/claim generating $3.9M. That pattern is consistent with high-volume personal care delivery in community or home settings rather than episodic skilled-home-health care.

A small supporting role is played by nursing assessment activity: T1001 (Nursing assessment / evaluation) accounts for 22 claims, $115 avg paid/claim, and $2.5K revenue (0.1% of this provider's total Medicaid revenue). The presence of T1001 suggests some assessment or supervisory interactions accompany the dominant personal care services, but its revenue contribution is negligible.

State competitive standing on the dominant code is top-ranked but among a very small peer set: T1019 ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code). Being the top filer among three peers indicates local leadership for this specific code, but the small in-state peer pool limits inference about broader market dominance.

For T1001 the provider ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), meaning it is the sole state reporter for that code in the dataset but the dollar impact is de minimis. This uniqueness in reporting does not materially affect the provider’s revenue base given the code’s 0.1% share.

The provider’s NPI was enumerated on 2021-07-26 (~5 years ago), indicating relatively recent entry into the national registry. Combined with the concentrated Medicaid-only revenue stream, this tenure suggests the organization is still early in its federal program footprint and remains heavily dependent on a single Medicaid service line for scale.

Medicaid: Complete Services Breakdown

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

2 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…	3,900	$990	$3.9M
T1001	Nursing assessment / evaluation	20	$120	$2.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

Alicia Prentice — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

2 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…	1	10	40	$1,000	$1.3M
T1001	Nursing assessment / evaluation	1	10	20	$110	$2.5K

Nearby Providers

Other providers in the same ZIP code as Alicia Prentice, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M

Alicia Prentice — Billing Profile & Reimbursement Data

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Alicia Prentice — 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