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    OpenPayerNPI Medicare & MedicaidAlliance Healthcare Services
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    Alliance Healthcare Services — Billing Profile & Reimbursement Data

    NPI 1295898393 · Memphis, TN · Community/Behavioral Health Agency

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    Alliance Healthcare Services is a community/behavioral health agency provider located in Memphis, Tennessee. This profile covers 0 Medicare and 44 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAlliance Healthcare Services
    Address2150 Whitney Ave
    CityMemphis
    StateTN
    ZIP38127
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedDecember 19, 2006

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

    Payer SourceTotal Paid
    Medicaid$154.6M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused operator: there is no Medicare billing on file while lifetime Medicaid revenue is reported as $154.6M. The absence of Medicare activity indicates the company’s patient and payer mix is concentrated on state Medicaid programs rather than dual Medicare/Medicaid populations.

    Revenue is highly concentrated in a small number of behavioral-health and support-service codes—precomputed top-3 codes account for 70.2% of the provider’s total Medicaid revenue. The single largest code is T2023 (36.8% of Medicaid revenue, $56.9M) followed by H0043 (18.1%, $28M) and S0280 (15.3%, $23.7M), signaling that most dollars flow through case management, supported housing, and medical-home care-planning lines.

    The code mix points to a community behavioral-health and housing-focused operating model. High-revenue codes are T2023 (Targeted case management; per month), H0043 (Supported housing, per diem), and S0280 (Medical home program, initial plan), which together imply ongoing monthly or per-diem service delivery and an emphasis on care coordination rather than acute medical care.

    The provider shows a strong statewide competitive position for several housing and residential service lines. T2023 ranks #3 of 14 in-state (85th percentile, described as typical), H0043 ranks #3 of 20 (89th percentile, typical), and S0280 ranks #8 of 40 (82th percentile, typical), so the organization is a sizable participant for case management and housing services; additionally, it ranks #1 of 15 for H0019 and #1 of 3 for H0044, identifying it as the highest-volume reporter in-state for long-term residential and some supported-housing monthly services.

    H0019 (Behavioral health; long-term residential, per diem) is noteworthy both for scale and statistical standing: 76.9K claims, $275 avg paid/claim, $21.1M revenue and labeled an "extreme outlier, far above typical state volume." That combination of large per-diem payments and an outlier rank indicates the provider operates substantial long-stay residential capacity relative to other Tennessee peers.

    Several high-volume psychotherapy and coordinated-care codes appear with large claim counts but $0 avg paid/claim in the dataset, for example 90832 (127.4K claims, $0), G9010 (89.7K claims, $0), and 90837 (58.5K claims, $0). These high-claim, zero-paid records—many of which are ranked in high percentiles—suggest certain services may be reimbursed via bundled, capitated, or alternative payment arrangements not reflected as fee-for-service paid amounts in this dataset.

    There are also pronounced patterns of very high claim volumes at minimal paid amounts for certain outpatient evaluation-and-management codes: 99213 shows 102K claims with $1 avg paid/claim (rank #36 of 4050, 99th percentile) and 99212 shows 11.7K claims with $1 avg paid/claim. This mix of extremely high volumes and low per-claim payments points to programmatic billing behavior (e.g., routine monthly check-ins or administrative visits) that drives utilization but contributes little to per-claim revenue.

    Operational and reimbursement risk is concentrated because a few recurring monthly/per-diem service lines dominate revenue: with the top three codes explaining 70.2% of Medicaid revenue and several large per-month/per-diem codes (T2023 $198 avg paid/month; H0043 $139 avg paid/per diem; H0044 $278 avg paid/month; H0019 $275 avg paid/per diem), changes to Medicaid policy, eligibility, or rates for these specific service types could materially affect the provider’s financials. The NPI tenure—enumerated 2006-12-19 (~20 years ago)—indicates this is an established operator whose scale and exposure have likely been built over a long period.

    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.

    44 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2023Targeted case management; per month287,260$200$56.9M
    H0043Supported housing, per diem201,310$140$28M
    S0280Medical home program, comprehensive care coordination and planning, initial plan152,800$160$23.7M
    H0019Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem76,900$280$21.1M
    H0044Supported housing, per month75,920$280$21.1M
    H0007Alcohol and/or drug services; crisis intervention (outpatient)12,630$260$3.3M
    H0034Medication training and support, per 15 minutes8,230$30$271.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…102,020$1$102K
    H2015Comprehensive community support services, per 15 minutes60$1,330$82.3K
    H0038Self‑help/peer services, per 15 minutes2,820$20$42.3K

    Showing 1–10 of 44

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    44 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2023Targeted case management; per month31011,790$410$75.3M
    S0280Medical home program, comprehensive care coordination and planning, initial plan84022,180$140$21.3M
    H0043Supported housing, per diem32069,350$180$18.6M
    H0019Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem1201,590$1,740$16.5M
    H0044Supported housing, per month11036,620$330$14.6M
    H0007Alcohol and/or drug services; crisis intervention (outpatient)11012,630$260$3.3M
    H2015Comprehensive community support services, per 15 minutes6105,740$110$2.4M
    H0034Medication training and support, per 15 minutes520610$60$421.5K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…14360350$50$414.4K
    H0038Self‑help/peer services, per 15 minutes10301,450$40$310.3K

    Showing 1–10 of 44

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Alliance Healthcare Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellspace HealthCAFederally Qualified Health Center (FQHC)$0$77M
    Wellspace HealthCAFederally Qualified Health Center (FQHC)$0$64.4M
    Wellspace HealthCADental Clinic/Center$0$42.6M
    Wellspace HealthCAFederally Qualified Health Center (FQHC)$0$28.3M
    Nosheen KhanNYPodiatrist$7.7M$0
    Jim PangTNPsychiatry Physician$86.7K$128.9K
    Ravneel SinghAZPhysician Assistant$35.7K$0
    Sherika CowanTNPsychiatric/Mental Health Nurse Practitioner$1.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medic Transportation, LLC.TNNon-emergency Medical Transport (VAN)$0$22.9M
    Chosen People Home Health AgencyTNHome Health Agency$0$3.3M
    Tennessee Carriers, Inc.TNNon-emergency Medical Transport (VAN)$0$2.2M
    Mohamad MoughrabiehTNInternal Medicine Physician$368K$30

    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. Tennessee Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Alliance Healthcare Services — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee