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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Alberta Professional Services (NPI 1194969998)

Field	Value
Entity Type	Organization
Organization	Alberta Professional Services
Address	3107 S Elm Eugene St
City	Greensboro
State	NC
ZIP	27406
Taxonomy	Respite Care
NPI Enumerated	April 23, 2009

Payer Source	Total Paid
Medicaid	$57.9M
Medicare	$0

Key Findings

ALBERTA PROFESSIONAL SERVICES appears to operate primarily as a Medicaid-focused respite and habilitation services provider based on its taxonomy (Respite Care) and the dominant Medicaid codes billed: H2016 (Comprehensive community support services, per diem), T2020 (Day habilitation, waiver; per diem), and T2021 (Day habilitation, waiver; per 15 minutes). The code mix — heavy on comprehensive community support and day habilitation codes — indicates operations centered on ongoing community-based support and day habilitation programs rather than acute medical or physician services.

Medicaid is effectively the sole payer exposure for this entity: there is no Medicare billing on file while reported Medicaid revenue totals $57.9M. That concentration means financial and contracting risk is concentrated in Medicaid program policy, reimbursement rates, and state waiver rules rather than Medicare payment dynamics.

Revenue concentration is high: the top three Medicaid codes (H2016, T2020, T2021) together account for 64.4% of the provider’s total Medicaid revenue. This indicates that a relatively small set of service lines — comprehensive community supports and day habilitation — are the primary revenue drivers and should be the focus for payer-provider negotiations or utilization reviews.

Market standing by code shows a mixed competitive position within North Carolina. For H2016 the provider ranks #16 of 65 (77th percentile), for T2020 it ranks #11 of 48 (79th percentile), and for T2021 it ranks #33 of 199 (84th percentile). Those percentiles place the provider as a typical-to-strong regional participant for its top per-diem habilitation and support services, but not an exclusive market leader.

Operational scale: the provider reports very large claim volumes for its top codes (e.g., 56.6K claims for H2016, 56.9K for T2020, 55.2K for T2021) which, combined with per-claim average payments ($280, $235, $146 respectively), generate substantial Medicaid revenue (H2016 $15.8M, T2020 $13.4M, T2021 $8.1M). These volumes suggest ongoing, high-frequency service delivery models such as daily habilitation programs and per-diem community supports rather than episodic or low-frequency interventions.

Competitive nuance: for several secondary codes the provider sits near the middle of state provider distributions (for example, T2013 at the 58th percentile and T2012 at the 59th percentile), while other lines are higher (H2015 at the 88th percentile). This pattern suggests the organization concentrates capacity in a few high-volume service lines while maintaining moderate participation across a broader set of waiver and habilitation services. Payers should expect solid but not dominant statewide market share for most codes.

Tenure-wise, the NPI was enumerated on 2009-04-23 (~17 years ago), indicating long-standing operational presence in the market. That tenure, combined with sustained high-volume billing in core codes, implies established programs and client rosters rather than a recently built service footprint.

There are no Medicare claims to analyze, so no assessment of Medicare competitive standing or cross-payer behavior is possible; this provider should be considered effectively single-payer (Medicaid) in the available claims data. That single-payer profile magnifies state-level policy and waiver changes as primary drivers of future revenue variability.

Smaller revenue lines (examples: S5145 foster care $3.2M, S5150 unskilled respite $662.7K, T2014 prevocational $949.8K) illustrate service breadth beyond the top three codes but together they account for a minority of revenue. These secondary services may provide diversification within Medicaid waiver programs but do not materially dilute the provider’s concentration risk tied to H2016, T2020, and T2021.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	56,570	$280	$15.8M
T2020	Day habilitation, waiver; per diem	56,920	$240	$13.4M
T2021	Day habilitation, waiver; per 15 minutes	55,190	$150	$8.1M
T2013	Habilitation, educational, waiver; per hour	37,920	$170	$6.3M
H2015	Comprehensive community support services, per 15 minutes	42,160	$110	$4.6M
T2012	Habilitation, educational; waiver, per diem	25,110	$160	$3.9M
S5145	Foster care, therapeutic, child; per diem	25,510	$130	$3.2M
T2014	Habilitation, prevocational, waiver; per diem	4,850	$200	$949.8K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	5,770	$160	$940K
S5150	Unskilled respite care, not hospice; per 15 minutes	9,610	$70	$662.7K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Alberta Professional Services — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	79	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	16	70	28,040	$220	$8.2M
S5145	Foster care, therapeutic, child; per diem	33	60	27,280	$160	$7.2M
T2020	Day habilitation, waiver; per diem	11	50	22,570	$180	$6.2M
T2012	Habilitation, educational; waiver, per diem	46	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	33	200	25,740	$130	$4.6M
T2014	Habilitation, prevocational, waiver; per diem	14	20	16,540	$150	$4.2M
H2015	Comprehensive community support services, per 15 minutes	31	250	10,060	$130	$2.4M
H2025	Ongoing support to maintain employment, per 15 minutes	54	60	6,380	$120	$1.3M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	34	120	2,780	$150	$966.8K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roberts, Wallace & Associates PLLC	NC	General Practice Dentistry	$0	$42.4M
Roberts & Associates - Greensboro PLLC	NC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$10.8M
Quality Care Iii , LLC	NC	Community/Behavioral Health Agency	$0	$8.7M
Richard Evans	NC	Surgery Physician	$63.1K	$0

Alberta Professional Services — Billing Profile & Reimbursement Data

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Alberta Professional Services — 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