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    OpenPayerNPI Medicare & MedicaidAll Pointe Homecare LLC
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    All Pointe Homecare LLC — Billing Profile & Reimbursement Data

    NPI 1497078315 · Cheshire, CT · Home Health Agency

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    All Pointe Homecare LLC is a home health agency provider located in Cheshire, Connecticut. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAll Pointe Homecare LLC
    Address675 W Johnson Ave Ste 6
    CityCheshire
    StateCT
    ZIP06410
    TaxonomyHome Health Agency
    NPI EnumeratedMarch 5, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$72.6M
    Medicare$0

    Key Findings

    ALL POINTE HOMECARE LLC is effectively a Medicaid-focused home health agency: it reports no Medicare billing on file and $72.6M in lifetime Medicaid revenue, making its commercial/policy exposure concentrated in the state Medicaid program rather than federal Medicare contracts. The provider’s NPI was enumerated on 2010-03-05 (~16 years ago), indicating long tenure in the market and sustained Medicaid activity over more than a decade.

    Revenue concentration is extreme: the precomputed top three Medicaid codes (S9124, S9123, T1502) together account for 93.3% of the provider’s total Medicaid revenue. In particular, S9124 alone represents $51.4M (70.9% of Medicaid revenue), signaling that the business model is highly dependent on one service line.

    Service-line mix and operational focus are dominated by in-home nursing care. The top code S9124 (Nursing care, in the home; by licensed practical nurse, per hour) has 127.3K claims and $404 avg paid/claim, and S9123 (by registered nurse, per hour) has 46.3K claims and $247 avg paid/claim, together showing the provider operates primarily as an hourly in-home nursing provider with both LPN and RN staffing. The presence of T1502 (83K claims, $59 avg paid/claim, $4.9M revenue) and T1004 (50.8K claims, $82 avg paid/claim, $4.2M revenue) further indicates routine medication administration visits and aide services complement the nursing-dominant portfolio.

    Competitive standing on the state Medicaid market is concentrated and uneven: for its core LPN home nursing code S9124 the provider ranks #3 of 65 in-state and sits in the 97th percentile, described as notably above typical state volume — this positions the provider as a major statewide player for that service. By contrast, its S9123 volume (RN nursing) ranks #17 of 79 and is at the 79th percentile (typical, unremarkable volume), indicating a more modest share among RN-hour providers despite high absolute dollars from S9124.

    Other service lines are present but secondary: T1502 (medication administration) contributes $4.9M (6.7% of Medicaid revenue) and ranks #22 of 37 in-state (42th percentile; typical, unremarkable volume), while T1004 (nursing aide services) contributes $4.2M (5.7% of Medicaid revenue) and ranks #18 of 63 (73th percentile; typical, unremarkable volume). These patterns suggest the agency supplements its nursing hours with routine medication administration and aide visits rather than large-scale skilled nursing-management services.

    Skilled nursing management codes are a small share of revenue: G0162 accounts for $586.6K (0.8% of Medicaid revenue) with 7.6K claims and ranks #20 of 63 (69th percentile; typical, unremarkable volume), indicating limited use of time-based RN care for plan-of-care management relative to its dominant hourly LPN nursing. This suggests care delivery emphasis is on hands-on hourly nursing rather than extended RN clinical management visits.

    From a payer-mix and risk perspective the entity is effectively single-payer at scale: with no Medicare revenue and $72.6M in Medicaid receipts, the provider’s financial performance and operational risk are concentrated in Connecticut Medicaid policies and reimbursement dynamics. Any payment or policy changes to S9124 reimbursement or utilization in-state would likely have outsized impact given S9124 makes up $51.4M (70.9%) of its Medicaid revenue.

    Claims volume detail reinforces the operational scale behind the revenue concentration: 127.3K S9124 claims and 46.3K S9123 claims show a high-volume, labor-intensive model focused on per-hour nursing services, while T1502’s 83K claims and T1004’s 50.8K claims confirm substantial visit-level activity that supports the primary nursing business rather than diversifying into other high-revenue service lines. Analysts should therefore treat this provider as a high-volume Medicaid home health LPN-centric operator with concentrated revenue exposure to a single dominant code.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour127,340$400$51.4M
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)46,270$250$11.4M
    T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit83,020$60$4.9M
    T1004Services of a qualified nursing aide, up to 15 minutes50,800$80$4.2M
    G0162Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…7,620$80$586.6K
    T1001Nursing assessment / evaluation990$80$76.2K
    T1016Case management, each 15 minutes10$70$880

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Connecticut median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit224098,180$50$17.4M
    S9124Nursing care, in the home; by licensed practical nurse, per hour3705,660$150$3.6M
    T1004Services of a qualified nursing aide, up to 15 minutes186026,810$40$2.8M
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)178014,190$80$2.7M
    G0162Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…20604,250$50$511.6K
    T1001Nursing assessment / evaluation30601,000$60$140.5K
    T1016Case management, each 15 minutes4750220$20$50.8K

    Nearby Providers

    Other providers in the same ZIP code as All Pointe Homecare LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cheshire Fitness Zone, LLCCTPediatric Physical Therapist$0$11.3M
    Perspectives Center For Care, Inc.CTMarriage & Family Therapist$0$5.2M
    Fun 2b Free LLCCTBehavior Analyst$0$4.5M
    Restoring You Wellness Center LLCCTClinical Social Worker$0$2.3M
    Ct Kids Matter LLCCTCommunity/Behavioral Health Agency$0$2.1M
    Grand Medical LLCCTInternal Medicine Physician$0$1.2M
    Comprehensive Pain Clinic PCCTInterventional Pain Medicine Physician$0$1.1M
    Connecticut Behavioral Health, LLCCTProfessional Counselor$0$1.1M
    Duarte MachadoCTNeurology Physician$390.7K$0
    Hhc Southington Surgery Center, LLCCTAmbulatory Surgical Clinic/Center$272.5K$3.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Connecticut Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    All Pointe Homecare LLC — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut