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

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

Alegre Home Health Care LLC (NPI 1669667150)

Field	Value
Entity Type	Organization
Organization	Alegre Home Health Care LLC
Address	1904 E Griffin Pkwy
City	Mission
State	TX
ZIP	78572
Taxonomy	Home Health Agency
NPI Enumerated	September 8, 2007

Payer Source	Total Paid
Medicaid	$146.2M
Medicare	$0

Key Findings

ALEGRE HOME HEALTH CARE LLC appears to be effectively a single-payer Medicaid operator: there is no Medicare billing on file and total Medicaid revenue is $146.2M. This makes Medicaid the sole documented source of fee-for-service revenue in the available dataset and frames any competitive or utilization analysis around state Medicaid activity.

Revenue is extremely concentrated in a small set of time-based personal care codes: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with S5125 alone representing $141.2M (96.6% of Medicaid revenue). That concentration signals a narrow service mix where changes to reimbursement or utilization rules for those specific codes would materially affect the provider’s financial profile.

The provider’s code mix and volumes indicate an operations model focused on attendant and personal care rather than skilled nursing: S5125 (attendant care services; per 15 minutes) has 2.4M claims at $59 avg paid/claim for $141.2M revenue, and the other top codes are T1019 (personal care services) and T1005 (respite care services). These codes are time-based, non-skilled care services, suggesting large-scale delivery of hands-on personal assistance in home settings rather than clinician-led skilled interventions.

ALEGRE is a major, outlier-level statewide provider for attendant care: S5125 ranks #8 of 1678 providers in-state and is flagged as an "extreme outlier" (100th percentile), indicating volumes far above typical state peers for that code. By contrast, T1005 ranks #26 of 564 (96th percentile) demonstrating high but less extreme volume for respite care, while T1019 ranks #242 of 1050 (77th percentile) and is a typical, unremarkable volume for personal care.

Operational scale is reflected in claim counts: the 2.4M S5125 claims and tens of thousands of claims for T1019 (66.2K) and T1005 (53.3K) imply a very high-frequency, visit-minute billing model that payers should expect to see large claim volumes and frequent per-15-minute entries when reviewing billing patterns. High claim frequency of time-based codes typically draws utilization management attention and can impact contractor oversight and auditing resource allocation.

Several ancillary or skilled-service codes show reported claims but $0 avg paid/claim and $0 revenue (examples include G0300, G0496, Q5001, G0299, G2023, and 87426). These zero-paid entries may reflect non-reimbursed reporting categories, bundled services, denied/zero-dollar adjudications, or administrative filings; analysts should treat them as reporting artifacts that do not contribute to revenue but may appear in claim datasets.

The provider has been enumerated on the NPI file since 2007-09-08 (~19 years ago), indicating long tenure in the market. That longevity, combined with concentrated high-volume service lines, suggests an established operational footprint in Texas Medicaid attendant and personal care services, but also a business risk profile tied closely to state Medicaid policy and rate dynamics for the dominant codes.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	2,392,630	$60	$141.2M
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…	66,220	$40	$2.6M
T1005	Respite care services, up to 15 minutes	53,270	$40	$2.3M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	30	$0	$0
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	110	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1,930	$0	$0
G0496	Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	270	$0	$0
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	30	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	260	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Alegre Home Health Care LLC — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	8	1,680	50,290	$60	$9.5M
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…	242	1,050	23,280	$30	$1.8M
T1005	Respite care services, up to 15 minutes	26	560	8,490	$50	$842.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1,186	1,350	320	$30	$101.2K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	123	310	1,230	$30	$91.7K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	266	350	520	$50	$75.6K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	271	340	220	$10	$24.1K
G0496	Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	94	130	1,010	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	240	410	390	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Truemed Homecare Inc	TX	Personal Care Attendant	$0	$42.2M
South Texas Personal Care Service Inc.	TX	Personal Care Attendant	$0	$38.2M
Angelitos Primary Home Care, Inc.	TX	Personal Care Attendant	$0	$35.2M
Un Buen Amanecer Home Health, Inc.	TX	Personal Care Attendant	$0	$27.3M
M & G Primary Home Care, Inc.	TX	Personal Care Attendant	$0	$26.2M
Amigos Y Familia Primary Home Care	TX	Personal Care Attendant	$0	$22.9M
Dogwood Home Health Care, LLC	TX	Home Health Agency	$0	$22.3M
Saint Michael's Primary Health Care,llc.	TX	Personal Care Attendant	$0	$17.8M
Nuestra Esperanza Primary Home Care, LLC	TX	Personal Care Attendant	$0	$17.3M
Angels Of Mercy Home Health, LLC	TX	Home Health Agency	$0	$16.8M

Alegre Home Health Care LLC — Billing Profile & Reimbursement Data

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Alegre Home Health Care LLC — 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