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

Why is the Medicaid comparison limited to New Jersey 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 Jersey (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 Home Care Inc (NPI 1558535013)

Field	Value
Entity Type	Organization
Organization	Always Home Care Inc
Address	5700 Bergenline Ave
City	West New York
State	NJ
ZIP	07093
Taxonomy	Home Health Agency
NPI Enumerated	April 16, 2008

Payer Source	Total Paid
Medicaid	$178.2M
Medicare	$0

Key Findings

ALWAYS HOME CARE INC operates as a Home Health Agency in WEST NEW YORK, NJ and its Medicaid billing profile is overwhelmingly focused on time-based personal-care services; T1019 accounts for $177.9M (99.8% of its Medicaid revenue) and S5125 appears alongside it as an attendant-care code, indicating the business model is primarily in-home, labor-intensive personal and attendant care rather than skilled Medicare services. The presence of T1001 (nursing assessment / evaluation) in the mix shows the organization also bills for initial and ongoing clinical assessments that support personal-care plans, but that code contributes a very small share of revenue relative to T1019.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue and a single code, T1019, represents 99.8% of the $178.2M Medicaid revenue. This level of concentration means reimbursement changes, audit focus, or policy shifts affecting T1019 would materially affect the provider’s entire revenue base.

This provider is effectively single-payer at scale for the period on file: there is no Medicare billing on file while Medicaid revenue totals $178.2M, so Medicaid constitutes the de facto sole public-payer revenue stream captured in these records. Analysts should therefore treat Medicaid policy, fee schedules, and managed-care contracting as primary determinants of the provider’s financial performance.

On competitive standing within New Jersey, ALWAYS HOME CARE INC is an outsized participant for key Medicaid codes: T1019 ranks #4 of 276 providers in-state (99th percentile; extreme outlier), signaling very high volume for personal-care services relative to peers. T1001 ranks #1 of 63 providers (100th percentile; extreme outlier), indicating leadership in billing for nursing assessments, while S5125 ranks #5 of 7 (33th percentile; typical, unremarkable volume), so attendant-care billing is not as dominant as the T1019 personal-care line.

Claim-level metrics further illustrate operational scale and mix: T1019 shows 2M claims at an average paid per claim of $89, producing $177.9M in revenue, while T1001 reflects 15.5K claims at $20 avg paid/claim for $309.4K revenue, and S5125 shows 2.9K claims at $18 avg paid/claim for $52.5K revenue. These figures reinforce that the provider’s Medicaid footprint is driven by very high-volume, low-unit-value personal-care encounters rather than high-value episodic or procedural billing.

The provider’s tenure in the NPI file (enumerated 2008-04-16, ~18 years ago) indicates an established operational presence in the market, which aligns with its high-volume standing on specific Medicaid personal-care codes. Longevity plus concentrated Medicaid volume suggests entrenched referral and operational processes for home-based personal and attendant care.

Because the dominant codes (T1019 and related attendant-care codes) are billed on a per-15-minute basis, the business profile implies heavy reliance on frontline caregiving workforce, scheduling capacity, and minute-level documentation. Operational risks and cost pressures for this provider are likely sensitive to labor availability, wage changes, and documentation or billing policy enforcement for time-based service codes.

For payer or contracting strategies, ALWAYS HOME CARE INC should be viewed as a major Medicaid personal-care vendor in New Jersey: its extreme outlier rankings and $177.9M reliance on T1019 make it a high-impact counterparty for managed-care networks and state Medicaid program decisions. Any contracting, reimbursement, or utilization-management changes focused on T1019 would disproportionately influence the provider’s revenue and market behavior.

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
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…	1,998,650	$90	$177.9M
T1001	Nursing assessment / evaluation	15,470	$20	$309.4K
S5125	Attendant care services; per 15 minutes	2,920	$20	$52.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Always Home Care Inc — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	4	280	31,400	$90	$15.4M
S5125	Attendant care services; per 15 minutes	5	10	4,020	$50	$988.6K
T1001	Nursing assessment / evaluation	1	60	180	$40	$31.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Always Caring Health Care Services, LLC	NJ	Home Health Agency	$0	$76.4M
Armas Home Care LLC	NJ	Home Health Agency	$0	$18M
West New York Board Of Education	NJ	Local Education Agency (LEA)	$0	$16.6M
North Hudson Community Action Corporation	NJ	Federally Qualified Health Center (FQHC)	$0	$14.7M
Senior Care Centers Of America, Inc.	NJ	Adult Day Care Clinic/Center	$0	$12.5M
Raul Rudelli	NJ	Clinical Pathology/Laboratory Medicine Physician	$1.8M	$2M
Armand Fasano	NJ	Ophthalmology Physician	$522.9K	$0
Sonoview Consulting Inc.	NJ	Mobile Radiology Clinic/Center	$231.2K	$79.2K
Felix Roque	NJ	Pain Medicine (Anesthesiology) Physician	$233.7K	$1.4K
Saras Rustagi	NJ	Corneal and Contact Management Optometrist	$61.2K	$171.5K

Always Home Care Inc — Billing Profile & Reimbursement Data

Sign up for Always Home Care Inc — Billing Profile & Reimbursement Data policy alerts

Always Home Care Inc — Billing Profile & Reimbursement Data

Sign up for Always Home Care Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References