Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAlliance Home Healthcare & Equipment Services Inc
    Ask Trek AI about this page

    Alliance Home Healthcare & Equipment Services Inc — Billing Profile & Reimbursement Data

    NPI 1134285638 · Washington, DC · Respite Care

    Customize your policy alerts

    Sign up for Alliance Home Healthcare & Equipment Services Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Alliance Home Healthcare & Equipment Services Inc is a respite care provider located in Washington, District of Columbia. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAlliance Home Healthcare & Equipment Services Inc
    Address7826 Eastern Ave Nw Ste 400
    CityWashington
    StateDC
    ZIP20012
    TaxonomyRespite Care
    NPI EnumeratedDecember 29, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$37.5M
    Medicare$0

    Key Findings

    This provider is effectively single-payer at the claims level: there is no Medicare billing on file, while reported Medicaid revenue totals $37.5M. The absence of Medicare activity means analyses of payer mix should treat Medicaid as the primary and operationally dominant payer for this entity.

    Revenue is highly concentrated in a single code set: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with one code overwhelmingly dominant. This concentration indicates that a very narrow set of services drives the provider's financial performance.

    T1019 (Personal care services, per 15 minutes) is the primary revenue driver by a wide margin, generating $36.7M (98.1% of the provider's Medicaid revenue) across 272.2K claims at $135 avg paid/claim. The scale and unit structure of T1019 (short, per-15-minute personal care visits) implies an operational model focused on high-volume, brief-contact personal care or respite services delivered largely by aides.

    G0299 (Direct skilled nursing services of an RN in the home health/hospice setting) represents a much smaller ancillary revenue line: 7.6K claims producing $711.4K (1.9% of Medicaid revenue) at $94 avg paid/claim. This mix suggests limited skilled nursing involvement relative to personal care, consistent with a service profile centered on non-skilled respite or personal assistance with occasional RN visits.

    Two listed service codes show claims but $0 paid/claim and $0 revenue: G0151 (175 claims; $0 avg paid/claim; $0 revenue) and G0154 (42 claims; $0 avg paid/claim; $0 revenue). The zero-dollar payments could reflect denied or non-reimbursed claim submissions, coding/reporting artifacts, or state-specific reimbursement rules; these items warrant targeted review in encounters or claims adjudication data before inferring service delivery or financial impact.

    Competitive standing within the state is modest for the provider's top codes: T1019 ranks #19 of 29 providers in-state (36th percentile), characterized as "typical, unremarkable volume for this code," and G0299 ranks #24 of 32 (26th percentile), also "typical, unremarkable volume for this code." G0151 ranks #11 of 14 (23rd percentile) and is likewise labeled "typical, unremarkable volume," while G0154 is listed as #1 of 1 providers in-state with a note of "0th percentile; no state peer volume comparison available," indicating no meaningful peer-benchmarking data for that specific code. These rankings show the provider is not a dominant statewide player for its highest-revenue code despite the very large absolute Medicaid revenue tied to that code.

    The provider has an established operational history: NPI enumerated on 2006-12-29 (~20 years ago). Longevity combined with a concentrated service footprint suggests a stable niche operation focused on respite/personal care services rather than broad home health offerings.

    Operational implications for payers and network managers: given the extremely high claim count for short-interval personal care (272.2K claims of T1019) and the dominance of that single code, utilization management, unit-of-service auditing, and workforce/visit-pattern oversight are the most relevant levers for controlling cost and quality exposure with this provider. The small share of skilled nursing (G0299) still requires clinical oversight but represents a much smaller portion of financial risk compared with T1019.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…272,210$140$36.7M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes7,570$90$711.4K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes180$0$0
    G0154Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes40$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. District of Columbia median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…1930405,140$140$47.5M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes243013,380$80$1.3M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes11101,340$40$222.3K
    G0154Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes11040$0$0

    Nearby Providers

    Other providers in the same ZIP code as Alliance Home Healthcare & Equipment Services Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Specialty Home Care LLCDCRespite Care$0$85.1M
    Kbc Nursing Agency Hm Health IncDCHome Health Agency$0$82.4M
    Berhan Home Health Care Agency IncDCHome Health Agency$0$76.6M
    Kinara Health And Home Care Services LLCDCMental Health Clinic/Center (Including Community Mental Health Center)$0$48.5M
    Ward & Ward Association, Inc.DCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$38.7M
    Premier Health Services Inc.DCHome Health Agency$0$36.8M
    Affordable Health Care Services LLCDCDevelopmental Disabilities Clinic/Center$0$25.8M
    Direct Care Home Health Services LLCDCHome Health Agency$0$14.3M
    Kahak, Inc.DCHome Health Agency$0$13.8M
    Dedicated Care Health Services, Inc.DCCommunity/Behavioral Health Agency$0$11.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. District of Columbia Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Alliance Home Healthcare & Equipment Services Inc — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia