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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Alabama Department Of Senior Services (NPI 1326111337)

Field	Value
Entity Type	Organization
Organization	Alabama Department Of Senior Services
Address	770 Washington Ave
City	Montgomery
State	AL
ZIP	36130
Taxonomy	Home Health Agency
NPI Enumerated	November 16, 2006

Payer Source	Total Paid
Medicaid	$631.3M
Medicare	$0

Key Findings

ALABAMA DEPARTMENT OF SENIOR SERVICES is effectively a single‑payer Medicaid operator: there is no Medicare billing on file while lifetime Medicaid revenue is $631.3M, indicating Medicaid is the sole recorded federal payer revenue stream for this NPI. Analysts should treat this profile as Medicaid‑centric rather than mixed‑payer when assessing market exposure and program dependencies.

Revenue is highly concentrated in a very small set of Medicaid service codes: the top 3 Medicaid codes by revenue account for 92.4% of this provider's total Medicaid revenue. The single largest line is T1019 ($431M, 68.3% of Medicaid revenue), followed by S5130 ($86.5M, 13.7%) and S5170 ($65.9M, 10.4%), showing that a handful of services drive nearly all reported Medicaid receipts.

The code mix indicates an operational focus on home‑and‑community‑based personal support rather than clinical skilled home health: T1019 is personal care services per 15 minutes, S5130 is homemaker service per 15 minutes, and S5170 is home delivered meals per meal. This pattern suggests the entity primarily delivers non‑medical assistance, IADL/ADL support, and meal delivery consistent with Medicaid waiver or state HCBS programs.

This provider is a dominant statewide player for multiple high‑volume codes: T1019 ranks #1 of 50 providers in‑state and is labeled an extreme outlier, S5130 ranks #1 of 51 providers and is also an extreme outlier, and S5170 ranks #1 of 2 providers (100th percentile). Those rank/percentile notes indicate volumes far above typical state peers for the same services, giving the provider market share and scale in Alabama’s Medicaid HCBS space.

Operational throughput is very large by utilization metrics: the profile shows 2.5M claims for T1019, 2.8M claims for S5130, and 1.9M claims for S5170. These multi‑million claim counts imply substantial ongoing delivery capacity and administrative volume to manage high‑frequency, time‑based service billing.

While the top three codes dominate revenue, the provider also reports significant supporting services that diversify its Medicaid offering: T1016 (case management) shows 3M claims and $15M revenue (2.4%), T1005 (respite care) has 61.3K claims and $8.5M revenue (1.3%), and S5150 (unskilled respite) contributes $16.6M (2.6%). Several of these ancillary codes also rank #1 in‑state, indicating breadth across multiple HCBS service lines in addition to the heavy personal‑care volumes.

From a contracting and program oversight perspective, the heavy reliance on a few HCBS codes (92.4% of revenue coming from the top three) means payers and managed‑care plans should expect concentrated utilization patterns and should evaluate capacity, authorization controls, and quality metrics for these specific service types. The provider’s extreme outlier status on key time‑based service codes suggests that network negotiations or capitated arrangements would need to account for very high unit volumes.

The provider has long tenure in the NPI registry, enumerated on 2006-11-16 (~20 years ago), which supports interpretation of these volumes as the output of an established organization rather than a new entrant; longevity combined with the dominant statewide ranks implies sustained, large‑scale participation in Alabama’s Medicaid HCBS programs.

Medicaid: Complete Services Breakdown

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

15 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…	2,505,630	$170	$431M
S5130	Homemaker service, nos; per 15 minutes	2,789,000	$30	$86.5M
S5170	Home delivered meals, including preparation; per meal	1,936,770	$30	$65.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	291,930	$60	$16.6M
T1016	Case management, each 15 minutes	2,997,510	$10	$15M
T1005	Respite care services, up to 15 minutes	61,320	$140	$8.5M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	124,650	$40	$4.9M
T2028	Specialized supply, not otherwise specified, waiver	10,420	$110	$1.1M
S5102	Day care services, adult; per diem	3,280	$320	$1.1M
T1001	Nursing assessment / evaluation	37,860	$20	$605.8K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Alabama Department Of Senior Services — 6 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5170	Home delivered meals, including preparation; per meal	1	10	968,570	$30	$32.7M
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	50	260	$180	$12.6M
T1005	Respite care services, up to 15 minutes	1	10	61,320	$140	$8.5M
T1016	Case management, each 15 minutes	1	10	200	$10	$6M
S5150	Unskilled respite care, not hospice; per 15 minutes	1	10	1,380	$60	$4.3M
T2028	Specialized supply, not otherwise specified, waiver	3	10	10,420	$150	$3.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1	10	90	$60	$2.5M
S5130	Homemaker service, nos; per 15 minutes	1	50	250	$30	$1.7M
S5102	Day care services, adult; per diem	1	10	3,280	$320	$1.1M
T1001	Nursing assessment / evaluation	2	10	37,860	$30	$1M

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Alabama Department Of Senior Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$2.3B
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$560.2M
Sate Of Alabama Dept Of Finance	AL	Public Health or Welfare Agency	$0	$205.3M
State Of Alabama Dept Of Finance	AL	Case Management Agency	$0	$98.7M
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$95.8M
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$85.5M
Alabama Department Of Mental Health And Mental Retardation	AL	Case Management Agency	$0	$42.1M
State Of Alabama Dept Of Finance	AL	Case Management Agency	$0	$36.4M
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$22.8M
Jefferson County Home Care Epsdt Cc - Adph	AL	Public Health or Welfare Agency	$0	$1.6M

Alabama Department Of Senior Services — Billing Profile & Reimbursement Data

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Alabama Department Of Senior 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