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

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

Alliance Health Svcs Fiscal Support (NPI 1699860650)

Field	Value
Entity Type	Organization
Organization	Alliance Health Svcs Fiscal Support
Address	2260 Cliff Rd
City	Eagan
State	MN
ZIP	55122
Taxonomy	Home Health Agency
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$70.5M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively single‑payer: its entire recorded federal billing comes from Medicaid, with total Medicaid revenue of $70.5M. The absence of Medicare activity suggests its operations are focused squarely on state waiver programs rather than traditional Medicare home‑health services.

Revenue is extremely concentrated in a very small set of waiver codes: the top three Medicaid codes account for 100.0% of reported Medicaid revenue. In particular, T2028 drives the vast majority of dollars ($69.4M, 98.4% of Medicaid revenue), while T2025 ($1.1M, 1.6%) and T2040 ($9.7K, 0.0%) make up the remainder.

Code mix and taxonomy indicate a business model centered on Medicaid waiver support rather than classical skilled home‑health care: the listed codes (T2028 – specialized supply, T2025 – waiver services NOS, and T2040 – financial management for self‑directed waiver) align with fiscal support and supply provision functions typical of waiver fiscal intermediary or support organizations. This pattern is consistent with the provider’s declared taxonomy as a Home Health Agency but points to specialization in waiver program administration and supply distribution.

On competitive standing for its dominant code, the provider is a statewide leader: T2028 ranks #1 of 11 providers in‑state and sits at the 100th percentile, described as "notably above typical state volume for this code." That ranking and the large absolute revenue for T2028 indicate market dominance in supplying specialized waiver items within the state.

For the secondary codes the provider is a modest participant: T2025 ranks #2 of 15 providers in‑state (93th percentile) and is described as "typical, unremarkable volume for this code," while T2040 ranks #2 of 2 providers in‑state (0th percentile) and is also labeled "typical, unremarkable volume." These ranks signal limited, routine engagement with ancillary waiver services beyond the core supply role.

Claim volumes underline operational scale and the nature of services: T2028 shows very high transaction volume with 673.4K claims at an average paid/claim of $103, whereas T2025 reports 14.9K claims at $74 avg/claim and T2040 only 304 claims at $32 avg/claim. The disparity in claim counts supports the view that the organization’s primary activity is high‑volume supply billing rather than time‑based direct care.

The provider has a long enrollment history: NPI enumerated 2006-10-04 (~20 years ago), indicating sustained participation in Medicaid waiver programs and the potential for established operational relationships with state administrators and vendors. Long tenure combined with scale in T2028 suggests entrenched position in the waiver supply channel.

The combined pattern presents both operational leverage and concentration risk: dominance in T2028 gives potential bargaining and delivery scale for specialized waiver supplies, but reliance on a single code and a sole payer (Medicaid) means policy, coding, or rate changes affecting T2028 or waiver reimbursements could materially impact overall revenue. Analysts should treat performance as highly sensitive to waiver program rules and in‑state contracting dynamics.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2028	Specialized supply, not otherwise specified, waiver	673,370	$100	$69.4M
T2025	Waiver services; not otherwise specified (nos)	14,870	$70	$1.1M
T2040	Financial management, self-directed, waiver; per 15 minutes	300	$30	$9.7K
T2024	Service assessment/plan of care development, waiver	50	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Alliance Health Svcs Fiscal Support — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2028	Specialized supply, not otherwise specified, waiver	1	10	4,700	$90	$7.3M
T2025	Waiver services; not otherwise specified (nos)	2	20	890	$80	$489.6K
T2040	Financial management, self-directed, waiver; per 15 minutes	2	10	7,460	$60	$448.2K
T2024	Service assessment/plan of care development, waiver	10	20	40	$140	$31.6K

Nearby Providers

Other providers in the same ZIP code as Alliance Health Svcs Fiscal Support, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Health Services Inc.	MN	Home Health Agency	$0	$30.9M
Alliance Health Care	MN	Home Health Agency	$0	$17.9M
Alliance Medical Supply	MN	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Living Hope Care, LLC	MN	Assisted Living Facility	$0	$6.3M
Judy Pedro-lim	MN	Pediatric Dentistry	$0	$5.4M
Eagan Ops LLC	MN	Assisted Living Facility	$0	$4.7M
Shelley Zaun	MN	Family Medicine Physician	$127.1K	$0
Neha Sharma	MN	Geriatric Medicine (Family Medicine) Physician	$91.2K	$0
Matveh Panya	MN	Medical Physician Assistant	$88.3K	$0
Katherine Neu	MN	Family Nurse Practitioner	$82.8K	$0

Alliance Health Svcs Fiscal Support — Billing Profile & Reimbursement Data

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Alliance Health Svcs Fiscal Support — 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