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.

Alternative Choice Home Care Nursing, LLC (NPI 1649845322)

Field	Value
Entity Type	Organization
Organization	Alternative Choice Home Care Nursing, LLC
Address	2620 S Parker Rd Ste 375
City	Aurora
State	CO
ZIP	80014
Taxonomy	Home Health Agency
NPI Enumerated	May 25, 2021

Payer Source	Total Paid
Medicaid	$42.7M
Medicare	$0

Key Findings

All recorded Medicaid revenue for ALTERNATIVE CHOICE HOME CARE NURSING, LLC is concentrated in a single procedure category: T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes). The file shows 17.4K claims at an average paid/claim of $2462, producing $42.7M in Medicaid revenue, and this single code is reported as accounting for 100.0% of the provider's total Medicaid revenue.

The provider exhibits extreme revenue concentration at the code level: the precomputed top-3 codes account for 100.0% of Medicaid revenue, and T1000 alone is listed as generating the entire $42.7M. This lack of diversification means the business is highly dependent on the reimbursement and utilization environment for short-interval private-duty nursing services.

ALTERNATIVE CHOICE has no Medicare billing on file (noted as "none below" for Medicare), so its payer mix is effectively single-payer with material exposure to Medicaid only. With $42.7M in Medicaid revenue and no Medicare presence, the provider’s financial performance and risk profile will be highly sensitive to Colorado Medicaid policy, rate changes, and program edits affecting T1000.

Competitive standing for T1000 in-state is mid-market: the provider ranks #5 of 15 providers in-state and sits at the 71th percentile for this code, described in the data as "typical, unremarkable volume for this code." This ranking indicates a meaningful but not dominant footprint in Colorado’s private-duty nursing market for this service.

The operational profile implied by the code mix points to a focused private-duty nursing operation that bills short-interval, licensed nursing visits rather than a broad set of home health services. Given T1000’s description (licensed nursing, up to 15 minutes), the organization likely operates with frequent, short-duration encounters as a core service model.

Both unit economics and volume drive the Medicaid revenue: 17.4K claims combined with a high average paid/claim of $2462 produce the $42.7M total, indicating significant revenue per event in addition to substantial claim volume. Analysts should note that the provider’s revenue base is the product of both relatively high reimbursement per claim and considerable utilization of this short-interval nursing code.

Tenure on file is relatively recent but established: the NPI was enumerated on 2021-05-25 (~5 years ago), and in that timeframe the provider’s reported Medicaid activity has reached $42.7M. Given the short window since enumeration and the concentrated revenue profile, payers and competitors should monitor for rapid changes in utilization or policy that could materially affect this entity.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	17,350	$2,460	$42.7M

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

Alternative Choice Home Care Nursing, LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	5	20	5,620	$630	$8.4M

Nearby Providers

Other providers in the same ZIP code as Alternative Choice Home Care Nursing, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$194.9M
Clinton Home Care, Inc.	CO	In Home Supportive Care Agency	$0	$60.3M
Smith Agency	CO	Foster Care Agency	$0	$51.9M
Colorado Spirit Home Care	CO	In Home Supportive Care Agency	$0	$46.9M
Care On Call Colorado, LLC	CO	In Home Supportive Care Agency	$0	$33.8M
Atlas Home Health, Inc.	CO	Home Health Agency	$0	$31.3M
Mercy Home Services	CO	In Home Supportive Care Agency	$0	$27.9M
Community Support Services, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$27M
Support Management	CO	Developmentally Disabled Services Day Training Agency	$0	$26.2M
Thrive Community Options	CO	Developmentally Disabled Services Day Training Agency	$0	$25.3M

Alternative Choice Home Care Nursing, LLC — Billing Profile & Reimbursement Data

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Alternative Choice Home Care Nursing, LLC — Billing Profile & Reimbursement Data

Sign up for Alternative Choice Home Care Nursing, LLC — 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