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

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

Alamo Consumer Direct, LLC (NPI 1336467166)

Field	Value
Entity Type	Organization
Organization	Alamo Consumer Direct, LLC
Address	8701 Shoal Creek Blvd Ste 303
City	Austin
State	TX
ZIP	78757
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	May 4, 2010

Payer Source	Total Paid
Medicaid	$158.6M
Medicare	$0

Key Findings

ALAMO CONSUMER DIRECT, LLC reports no Medicare billing on file and $158.6M in lifetime Medicaid revenue, making Medicaid the sole documented government payer in these datasets. The absence of any Medicare activity indicates the provider operates effectively as a Medicaid-focused entity in the public payer landscape.

Revenue is highly concentrated in a small set of Medicaid codes: S5125 ($37.7M, 23.8%), T2016 ($32.7M, 20.6%), and T1019 ($32.3M, 20.4%) together account for 64.7% of the provider's total Medicaid revenue. This top-3 concentration highlights that a few recurring service lines are driving most of the financial volume reported.

The code mix (S5125, T2016, T1019) and the provider taxonomy (In Home Supportive Care Agency) point to an operational focus on home- and waiver-based personal care and residential habilitation services; time-based codes such as S5125 and T1019 indicate high-frequency, minute- or quarter-hour billing for attendant/personal care, while T2016’s per-diem habilitation/residential waiver billing suggests sizable residential or programmatic waiver activity. Together these codes suggest the organization delivers both in-home attendant services and structured waiver/residential habilitation at scale.

Competitive standing is uneven across codes: T2016 is an outlier statewide (rank #2 of 109, 99th percentile; described as an "extreme outlier"), indicating the provider is a dominant supplier of residential habilitation waiver per-diem services in Texas. T1019 is also well above typical state volume (rank #35 of 1050, 97th percentile; "notably above typical"), while S5125, despite representing the largest single dollar line ($37.7M), is characterized as a 94th percentile, "typical, unremarkable" volume for that code, suggesting strong but more commonplace participation in attendant care relative to peers.

Beyond the top three, several specialty or high-unit codes show elevated statewide ranks that reflect concentrated service niches: M0355 ($7.5M, 4.7%) is rank #1 of 10 (100th percentile; "notably above typical"), M0420 ($338.4K) and G6064 ($87.3K) are also rank #1 in small provider pools (100th percentile), and T1005 ($7.5M, 4.7%) and H2015 ($6M, 3.8%) are high-percentile performers (98th and 97th respectively; "notably above typical"). These placements imply the provider holds leading positions in several narrower Medicaid service categories.

Operational footprint is consistent with very high claim volumes and time-based billing: S5125 shows 538.4K claims at $70 avg paid/claim, T2016 shows 640.9K claims at $51 avg paid/claim, and T1019 shows 442K claims at $73 avg paid/claim. The large claim counts and modest per-claim averages are characteristic of recurring direct-care delivery and indicate a business model built on high-frequency, low-unit-value service encounters.

The provider’s reliance on Medicaid revenue and the concentration in a few key waiver and personal-care codes create both scale advantages and exposure: with $158.6M coming exclusively from Medicaid and 64.7% of that tied to three codes, policy or rate changes affecting waiver per-diem or attendant-care authorizations could materially impact revenue. At the same time, the provider’s top-state ranks—especially the T2016 #2 position—make it a major candidate for managed care partnerships or state-contracted waiver work given demonstrated volume and reach.

ALAMO CONSUMER DIRECT’s NPI was enumerated on 2010-05-04 (~16 years ago), indicating an established operating history in the state. The tenure helps explain the scale of claims and the high statewide rankings in multiple Medicaid codes, consistent with a multiyear accumulation of waiver and in-home care contracts and client panels.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	538,390	$70	$37.7M
T2016	Habilitation, residential, waiver; per diem	640,920	$50	$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…	442,040	$70	$32.3M
T2040	Financial management, self-directed, waiver; per 15 minutes	290,980	$30	$9.6M
T2017	Habilitation, residential, waiver; 15 minutes	92,190	$90	$8.4M
M0355	N/A	51,010	$150	$7.5M
T1005	Respite care services, up to 15 minutes	95,770	$80	$7.5M
H2015	Comprehensive community support services, per 15 minutes	72,390	$80	$6M
M0361	N/A	41,440	$130	$5.4M
S9125	Respite care, in the home, per diem	105,200	$30	$3.4M

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Alamo Consumer Direct, LLC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	110	1,680	50,290	$60	$9.5M
T2016	Habilitation, residential, waiver; per diem	2	110	6,810	$200	$8.1M
M0355	N/A	1	10	17,420	$290	$6.2M
S9125	Respite care, in the home, per diem	3	20	18,690	$100	$3.5M
M0361	N/A	2	10	9,410	$190	$3.2M
T2017	Habilitation, residential, waiver; 15 minutes	5	60	19,340	$80	$3M
G0226	N/A	7	10	2,550	$200	$2.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	3	40	4,490	$30	$2.5M
G0749	N/A	3	20	8,140	$180	$2.2M
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…	35	1,050	23,280	$30	$1.8M

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Alamo Consumer Direct, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Specialty Surgery Of Austin, LLC	TX	Ambulatory Surgical Clinic/Center	$2.9M	$0
Austin Gi Surgicenter, LLC	TX	Ambulatory Surgical Clinic/Center	$2M	$0
Austin Kidney Associates, P. A.	TX	Ambulatory Surgical Clinic/Center	$598.9K	$0
Iden Cowan	TX	Pain Medicine (Anesthesiology) Physician	$572.8K	$0
Bryan Townsend	TX	MOHS-Micrographic Surgery Physician	$482.6K	$0
John Ghidoni	TX	MOHS-Micrographic Surgery Physician	$386K	$0
Advanced Sleep Centers Inc	TX	Sleep Disorder Diagnostic Clinic/Center	$217.8K	$0
Carlton Newman	TX	Podiatrist	$132.6K	$44.3K
Jason Feuerman	TX	Ophthalmology Physician	$165K	$0
Cherie Simpson	TX	Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist	$123.8K	$0

Alamo Consumer Direct, LLC — Billing Profile & Reimbursement Data

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Alamo Consumer Direct, LLC — 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