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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Alliance For Health (NPI 1295842508)

Field	Value
Entity Type	Organization
Organization	Alliance For Health
Address	105 Court St
City	Brooklyn
State	NY
ZIP	11201
Taxonomy	Home Health Agency
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicaid	$436.9M
Medicare	$0

Key Findings

This provider has no Medicare billing on file (none) and is effectively a single‑payer Medicaid operator, reporting $436.9M in lifetime Medicaid revenue. The absence of Medicare activity means analyses should treat payer risk and utilization patterns as concentrated in Medicaid only, rather than split across federal and state programs.

Revenue is extremely concentrated in a tiny set of codes: the precomputed top 3 Medicaid codes by revenue account for 99.6% of this provider's total Medicaid revenue. In particular, T1019 alone accounts for $383.2M (87.7% of Medicaid revenue) from 2M claims at an average paid/claim of $187, making it the primary revenue driver for the organization.

The code mix—dominated by T1019 (personal care services, per 15 minutes), T1020 (personal care services, per diem), and S5125 (attendant care services, per 15 minutes)—indicates a labor‑intensive home‑and‑community based personal care operation focused on hands‑on attendant and personal support rather than skilled home health. The heavy weighting toward time‑based personal care codes suggests most revenue is generated by routine assistance activities (bathing, dressing, ADLs) billed in short time increments and by per‑diem attendant arrangements.

While T1019 drives the majority of dollars, state ranking data show a mixed competitive position: T1019 ranks #56 of 912 in‑state (94th percentile) but is labeled as "typical, unremarkable volume for this code," and T1020 ranks #35 of 354 (90th percentile, typical, unremarkable volume). By contrast, S5125 ranks #5 of 61 in‑state (93th percentile, typical, unremarkable volume), indicating a relatively stronger presence in attendant care among a smaller cohort of providers. These standings imply the provider sits among higher‑volume billing peers for its principal services but is not uniquely dominant statewide.

Skilled nursing/clinical management plays a negligible role in reported Medicaid revenue: G0162 shows only 178 claims and $23K in revenue (0.0% of this provider's total Medicaid revenue), and the dataset labels that volume as typical, unremarkable. This pattern confirms the operation is overwhelmingly focused on non‑skilled personal and attendant care rather than RN‑led skilled home‑health services.

The dependence on time‑based billing units and per‑diem codes creates a clear business sensitivity to utilization and rate changes: T1019 and T1020 together represent $425.8M of revenue ($383.2M + $42.6M) and differences in average paid/claim ($187 for T1019 vs $338 for T1020) mean shifts between per‑15‑minute and per‑diem care models could materially alter realized revenue even if total service hours held steady. Given that the top three codes equal 99.6% of Medicaid revenue, any policy, audit, or rate adjustment that affects those codes would have outsized financial impact.

The provider is long‑tenured in the enrollment data, with an NPI enumeration date of 2006-08-23 (~20 years ago), which suggests established operations and likely entrenched relationships with state Medicaid programs and referral sources. Longevity combined with a concentrated service mix implies institutional experience in delivering Medicaid personal/attendant care, though the narrow revenue base still leaves the organization exposed to market or policy shifts affecting those core codes.

Medicaid: Complete Services Breakdown

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

5 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…	2,049,010	$190	$383.2M
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…	125,900	$340	$42.6M
S5125	Attendant care services; per 15 minutes	58,960	$160	$9.7M
S5126	Attendant care services; per diem	4,860	$310	$1.5M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	180	$130	$23K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Alliance For Health — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5126	Attendant care services; per diem	6	20	2,660	$80	$114M
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…	56	910	108,820	$150	$81.8M
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…	35	350	12,660	$310	$13.1M
S5125	Attendant care services; per 15 minutes	5	60	4,640	$100	$5.7M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	24	50	130	$80	$31.5K

Nearby Providers

Other providers in the same ZIP code as Alliance For Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heart To Heart Home Care, Inc.	NY	Home Health Agency	$0	$1.1B
New York City Health And Hospitals Corporation	NY	Land Ambulance	$19.9M	$363.8M
City Of New York	NY	Local Education Agency (LEA)	$0	$300M
Heart To Heart Home Care, Inc.	NY	Home Health Agency	$0	$101.8M
The Brooklyn Hospital Center	NY	General Acute Care Hospital	$0	$92.7M
Planned Parenthood Of Greater New York Inc	NY	Ambulatory Family Planning Facility	$0	$78.2M
Sarah Care Usa	NY	Home Health Agency	$0	$72.8M
Community Counseling And Mediation	NY	Community/Behavioral Health Agency	$0	$42.7M
Catholic Charities Neighborhood Services, Inc.	NY	Mental Illness Community Based Residential Treatment Facility	$0	$27.8M
Catholic Charities Neighborhood Services, Inc.	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.2M

Alliance For Health — Billing Profile & Reimbursement Data

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Alliance For Health — 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