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

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

Allegiance Home Care Inc (NPI 1437575024)

Field	Value
Entity Type	Organization
Organization	Allegiance Home Care Inc
Address	8515 Pearl St Ste 101
City	Thornton
State	CO
ZIP	80229
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 6, 2014

Payer Source	Total Paid
Medicaid	$33.7M
Medicare	$0

Key Findings

ALLEGIANCE HOME CARE INC is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports $33.7M of lifetime Medicaid revenue, indicating its scale and revenue exposure are concentrated in Medicaid business rather than Medicare. This payer mix implies reliance on state Medicaid policy, rates, and managed‑care contracts for the bulk of its income.

Medicaid revenue is highly concentrated in three service lines: H0038 accounts for $17.9M (53.1%), T1019 accounts for $12M (35.6%), and S5130 accounts for $3.8M (11.4%) — together these top three codes make up 100.0% of the provider’s reported Medicaid revenue. This concentration means changes to reimbursement or utilization for any of these three codes could materially affect overall revenues.

The provider’s code mix and taxonomy (In Home Supportive Care Agency) indicate an operational focus on non‑medical, in‑home supportive services: H0038 (Self‑help/peer services) suggests a meaningful peer‑support or behavioral health support component, while T1019 (Personal care services) and S5130 (Homemaker service) point to hands‑on domicile assistance and activities of daily living support. The predominance of per‑15‑minute personal care and homemaker codes is consistent with scheduled, recurring in‑home care rather than episodic medical procedures.

H0038 is the single largest revenue driver with 26.1K claims, $687 avg paid/claim, and $17.9M revenue; it ranks #39 of 276 providers in-state (86th percentile) and is characterized as typical, unremarkable volume for this code. T1019 shows the highest claim volume at 44.2K claims, $271 avg paid/claim, and $12M revenue; it ranks #59 of 475 providers in-state (88th percentile) and is characterized as typical, unremarkable volume for this code. S5130 contributes $3.8M from 21.8K claims at $176 avg paid/claim and ranks #49 of 342 providers in-state (86th percentile) and is characterized as typical, unremarkable volume for this code.

Payment level differences across the top codes drive revenue mix: H0038’s $687 avg paid/claim is materially higher than T1019’s $271 and S5130’s $176 avg paid/claim, which helps explain why H0038 generates the largest share of revenue ($17.9M) despite a lower or similar claim count to T1019 and S5130. This suggests that payer rate schedules or service intensity for peer/self‑help services are a key determinant of the provider’s revenue profile.

From a competitive standpoint within Colorado this provider operates at an above‑median scale for its leading codes (all listed percentiles are in the mid‑80s), which makes it a solid regional participant but not a dominant statewide leader by ranking — its positions around the 86th–88th percentile indicate it is larger than most peers but still one of many active providers in these service lines. These ranks support a characterization of the provider as a meaningful, established in‑home supportive care operator rather than a market outlier.

The provider has an established tenure, with its NPI enumerated on 2014-03-06 (~12 years ago), which combined with its focused Medicaid revenue mix suggests an operational history centered on state‑funded in‑home supportive services; however, the dependence on three Medicaid codes and the absence of Medicare billing highlight a vulnerability to Medicaid programmatic or reimbursement shifts affecting those specific service codes.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	26,050	$690	$17.9M
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…	44,230	$270	$12M
S5130	Homemaker service, nos; per 15 minutes	21,780	$180	$3.8M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Allegiance Home Care Inc — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	39	280	2,330	$210	$4.8M
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…	59	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	49	340	3,530	$80	$1.2M

Nearby Providers

Other providers in the same ZIP code as Allegiance Home Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Better Life Experience Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$30.7M
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$30.6M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Oliver Behavioral Consultants LLC	CO	Behavior Analyst	$0	$16.6M
Rocky Mountain Youth Medical & Nursing Consultants Inc	CO	Pediatrics Physician	$0	$16.2M
Carepoint Emergency Medicine, PLLC	CO	Emergency Medicine Physician	$0	$7.6M
Physician's Choice Medical, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Thornton Youth Dentistry, PC	CO	General Practice Dentistry	$0	$7.1M
H.e.a.r.t Counseling Center, LLC	CO	Community/Behavioral Health Agency	$0	$5.4M
Thornton Youth Vision, LLC	CO	Optometrist	$0	$5M

Allegiance Home Care Inc — Billing Profile & Reimbursement Data

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Allegiance Home Care 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