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

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

Always There Home Care LLC (NPI 1356760383)

Field	Value
Entity Type	Organization
Organization	Always There Home Care LLC
Address	857 S Hill Rd
City	Bernalillo
State	NM
ZIP	87004
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	April 7, 2014

Payer Source	Total Paid
Medicaid	$33.4M
Medicare	$0

Key Findings

ALWAYS THERE HOME CARE LLC is effectively a single-payer Medicaid-focused operator: it has no Medicare billing on file and reports $33.4M in lifetime Medicaid revenue, indicating the organization’s entire documented Medicare/Medicaid footprint is concentrated in Medicaid programs rather than dual Medicare/Medicaid billing. This payer concentration suggests the provider’s revenue and strategic exposure are tightly linked to state Medicaid policy and reimbursement changes.

Revenue is highly concentrated in three codes: 99509 (55.3% of Medicaid revenue), T1019 (37.6%), and G9006 (6.6%), which together account for 99.5% of the provider’s total Medicaid revenue. That level of concentration means the business’s financial performance is driven almost entirely by ADL/home support visits, personal care services billed by time, and a smaller coordinated care/home monitoring fee.

The top revenue driver, 99509, shows high absolute volume with 54.1K claims, a $341 avg paid/claim, and $18.4M in revenue (55.3% of the provider’s Medicaid revenue). 99509 is described as in-home visits to help with activities of daily living, so this pattern indicates the firm’s core operation is front-line in-home assistance delivered by clinical or non-clinical staff rather than institutional care.

T1019 is the second major revenue stream with 149.4K claims, a $84 avg paid/claim, and $12.6M in revenue (37.6% of Medicaid revenue); as a per-15-minute personal care services code this reflects a high-volume, time-based personal care model that likely relies on many short-duration visits or long cumulative face-to-face hours across clients. The combination of large claim counts and lower average paid/claim for T1019 underscores an operational profile built around labor-intensive, minute-level service delivery.

G9006 contributes $2.2M (6.6% of Medicaid revenue) from 10.4K claims at $211 avg paid/claim and aligns with coordinated care/home monitoring services, suggesting the provider supplements direct personal care with care management or remote monitoring activities that generate material but secondary revenue. This mix indicates a service offering that pairs hands-on personal care with care coordination features rather than specialized clinical procedures.

Competitive standing in-state is solid but not dominant for the major codes: 99509 ranks #20 of 82 providers in-state (77th percentile), T1019 ranks #30 of 89 (67th percentile), and G9006 ranks #21 of 79 (74th percentile); each code’s descriptor of “typical, unremarkable volume” supports interpreting the provider as an established, mid-to-upper-tier participant rather than a market leader. These percentiles show the provider competes effectively in volume but does not occupy a top-tier outlier position in New Mexico for these services.

Smaller revenue lines (S5110: $106.3K, S9999: $46.9K, G9012: $2.4K) are immaterial relative to total Medicaid revenue and do not change the overall business profile; S5110’s training, S9999’s sales tax, and G9012’s miscellaneous case management appear as adjunct or administrative items rather than strategic service lines. Their percentile placements (S5110 57th, S9999 69th, G9012 22th) are all described as typical, reinforcing that the provider’s distinguishing feature is its heavy reliance on the three primary codes.

The provider’s tenure—NPI enumerated 2014-04-07 (~12 years ago)—indicates it is an established operation with a multi-year presence in the New Mexico home care market; combined with the large volume of per-15-minute T1019 claims, this tenure suggests an operational model built and scaled over several years around time-based personal care delivery and accompanying care coordination services. Given the single-payer Medicaid concentration and the dominant role of a few codes, analysts should view reimbursement or policy changes to those specific service lines as having outsized impact on this entity’s revenue trajectory.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	54,100	$340	$18.4M
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…	149,420	$80	$12.6M
G9006	Coordinated care fee, home monitoring	10,410	$210	$2.2M
S5110	Home care training, family; per 15 minutes	400	$270	$106.3K
S9999	Sales tax	1,510	$30	$46.9K
G9012	Other specified case management service not elsewhere classified	90	$30	$2.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Always There Home Care LLC — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	20	80	20,990	$310	$16.4M
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…	30	90	92,900	$70	$13.3M
G9006	Coordinated care fee, home monitoring	21	80	3,840	$190	$2M
S5110	Home care training, family; per 15 minutes	16	40	340	$200	$202.4K
S9999	Sales tax	52	160	800	$10	$25.2K
G9012	Other specified case management service not elsewhere classified	8	10	160	$60	$20.1K

Nearby Providers

Other providers in the same ZIP code as Always There Home Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valle Del Sol Of New Mexico, LLC	NM	Community/Behavioral Health Agency	$0	$7.7M
Abrazos Family Support Services	NM	Developmentally Disabled Services Day Training Agency	$0	$6.9M
El Pueblo Health Services, Inc	NM	Family Nurse Practitioner	$0	$4.3M
Five Sandoval Indian Pueblos, Inc.	NM	Community/Behavioral Health Agency	$0	$3.2M
County Of Sandoval	NM	Ambulance	$148.7K	$2.2M
Walgreen Co	NM	Pharmacy	$155.4K	$0
Wal-mart Stores East LP	NM	Community/Retail Pharmacy	$91.4K	$0
Deidra Casaus	NM	Optometrist	$19.2K	$0
Robert Fontenot	NM	Optometrist	$11.7K	$0
Steven Hartman	NM	Family Medicine Physician	$11.4K	$0

Always There Home Care LLC — Billing Profile & Reimbursement Data

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Always There Home Care 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