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

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

Alternative Nursing Services, Inc. (NPI 1366563397)

Field	Value
Entity Type	Organization
Organization	Alternative Nursing Services, Inc.
Address	1827 8th St
City	Lewiston
State	ID
ZIP	83501
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicaid	$29.3M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $29.3M in lifetime Medicaid revenue, making its commercial payer exposure effectively absent in the available data and its financial footprint concentrated in Medicaid only. The absence of Medicare activity indicates the organization operates as a Medicaid-focused service provider rather than a mixed Medicare/Medicaid facility.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 99.8% of this provider's total Medicaid revenue, with a single code, T1019, contributing $28.3M (96.5% of Medicaid revenue). This level of concentration means the provider’s financial performance is heavily driven by utilization and reimbursement for that one service.

The code mix — dominated by T1019 (personal care services, per 15 minutes), with meaningful but much smaller volumes of S5130 (homemaker service) and T1005 (respite care) — aligns with the provider taxonomy of Adult Day Care Clinic/Center and indicates operations focused on direct personal-care and home-support services rather than clinical, medical procedures. High volumes of per-15-minute personal care suggest service delivery models built around frequent, time-based care visits.

T1019 shows 203.5K claims at an average paid per claim of $139 for $28.3M in revenue, and this activity ranks #2 of 101 providers in-state (99th percentile; extreme outlier). In plain terms, the provider is a dominant statewide participant in billing for T1019 and operates at volumes far above most peers for this code.

The secondary codes are much smaller contributors: S5130 generated 15.6K claims at $37 avg paid/claim for $578.1K (2.0% of total Medicaid revenue) and ranks #34 of 77 providers in-state (57th percentile), while T1005 produced 2.4K claims at $159 avg paid/claim for $381.6K (1.3% of total) and ranks #1 of 4 providers in-state (100th percentile). These figures show modest diversification into homemaker and respite services, with S5130 volumes typical and T1005 appearing concentrated among a very small set of providers.

Other billed services are immaterial: S5125 accounts for only $68.3K (0.2% of Medicaid revenue) with 1.3K claims and places the provider at #32 of 44 in-state (28th percentile). This reinforces that nearly all Medicaid revenue is concentrated in the top personal-care and related service codes rather than a broad slate of care categories.

The provider has an established enrollment history, with an NPI enumerated on 2007-04-03 (~19 years ago), indicating long-term participation in state Medicaid programs. That tenure, combined with the extreme code concentration, suggests sustained operational focus on time-based personal care but also a potential vulnerability to changes in state reimbursement policy or utilization management for those specific codes.

Given the dominance of T1019 and the fact that the top three codes account for 99.8% of Medicaid revenue, any shifts in reimbursement rates, eligibility criteria, or utilization controls for personal care and related services would likely have outsized financial impact on this provider; monitoring T1019 utilization trends and state policy actions should be a priority for payer/provider analysts assessing financial and operational risk.

Medicaid: Complete Services Breakdown

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

4 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…	203,460	$140	$28.3M
S5130	Homemaker service, nos; per 15 minutes	15,630	$40	$578.1K
T1005	Respite care services, up to 15 minutes	2,400	$160	$381.6K
S5125	Attendant care services; per 15 minutes	1,340	$50	$68.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Alternative Nursing Services, Inc. — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	32	40	5,180	$110	$2.3M
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	100	11,400	$80	$2M
S5130	Homemaker service, nos; per 15 minutes	34	80	12,220	$20	$537.5K
T1005	Respite care services, up to 15 minutes	1	10	1,590	$80	$123.7K

Nearby Providers

Other providers in the same ZIP code as Alternative Nursing Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catalyst Medical Group, PLLC	ID	Multi-Specialty Clinic/Center	$0	$11.4M
Opportunities Unlimited, Inc.	ID	Specialist	$0	$9.1M
St. Joseph Hospital LLC	ID	General Acute Care Hospital	$0	$4.7M
County Of Nez Perce Independent School District No 1	ID	Local Education Agency (LEA)	$0	$3.5M
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$3.2M
City Of Lewiston	ID	Land Ambulance	$697.3K	$1.9M
Riverside Recovery LLC	ID	Addiction (Substance Use Disorder) Counselor	$0	$2.1M
Addus Healthcare (idaho), Inc	ID	In Home Supportive Care Agency	$0	$2M
Emeritus Properties Ii, Inc.	ID	Assisted Living Facility	$0	$1.9M
Hospitalist Medicine Physicians Of Idaho- Nampa PLLC	ID	Emergency Medicine Physician	$0	$1.7M

Alternative Nursing Services, Inc. — Billing Profile & Reimbursement Data

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Alternative Nursing Services, Inc. — 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