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.

Alay Home Care (NPI 1568940450)

Field	Value
Entity Type	Organization
Organization	Alay Home Care
Address	31 Newark Bay Ct
City	Bayonne
State	NJ
ZIP	07002
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 1, 2018

Payer Source	Total Paid
Medicaid	$36.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	47,910	$410	$19.5M
H2021	Community-based wrap-around services, per 15 minutes	86,820	$190	$16.8M

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

Alay Home Care — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	84	210	23,310	$490	$41.9M
H2021	Community-based wrap-around services, per 15 minutes	6	190	3,010	$260	$3.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fast Track Services LLC	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$47.3M
Perfect Home Care	NJ	Home Health Agency	$0	$22.6M
Adult Medical Day Care Corp. Of Bayonne	NJ	Adult Day Care Clinic/Center	$0	$19.6M
Ijkg Opco LLC	NJ	General Acute Care Hospital	$0	$17.5M
Garden State Healthcare Associates, LLC	NJ	Emergency Medicine Physician	$0	$13.3M
Bayonne Board Of Education	NJ	Local Education Agency (LEA)	$0	$13.2M
Kessler Institute For Rehabilitation Inc	NJ	Physical Therapy Clinic/Center	$0	$13.1M
Windmill Alliance Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$10M
United Cerebral Palsy Of Hudson County	NJ	Developmentally Disabled Services Day Training Agency	$0	$8.9M
Jacob Jacoby	NJ	Psychiatry Physician	$107.2K	$6.7M

Alay Home Care — Billing Profile & Reimbursement Data

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Alay Home Care — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References