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

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

Riviera Health Services, LLC (NPI 1710356217)

Field	Value
Entity Type	Organization
Organization	Riviera Health Services, LLC
Address	118 N Royal St
City	Mobile
State	AL
ZIP	36602
Taxonomy	Home Health Agency
NPI Enumerated	September 15, 2015

Payer Source	Total Paid
Medicaid	$14.5M
Medicare	$0

Key Findings

RIVIERA HEALTH SERVICES, LLC is effectively a Medicaid-centric operator: there is no Medicare billing on file and the provider reports $14.5M in total Medicaid revenue. The absence of Medicare claims indicates the organization’s patient base and reimbursement exposure are concentrated in state Medicaid programs rather than federal Medicare payments.

Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes by revenue account for 99.9% of the provider’s total Medicaid revenue. This concentration means a handful of codes drive virtually all reported Medicaid receipts for the organization.

The business mix is dominated by in-home nursing services: S9124 (nursing care in the home by licensed practical nurse, per hour) generates $10.6M in revenue (73.5% of Medicaid revenue) from 14.4K claims with an average paid/claim of $738, and S9123 (nursing care in the home by registered nurse, per hour) contributes $3.7M (25.7%) from 5.4K claims with an average paid/claim of $692. These code-level details point to an operation staffed and marketed primarily for hourly in-home skilled nursing rather than therapy or institutional services.

Competitive standing on the largest code is mixed: S9124 ranks #1 of 3 providers in-state (100th percentile) but is described as typical, unremarkable volume for this code, which suggests the provider occupies the top slot among a small peer set without showing anomalous billing intensity for that service. Being #1 of only three in-state providers for LPN home hours indicates local prominence in that narrow segment even if the utilization level itself is not flagged as extraordinary.

S9123 performance indicates a strong regional position for RN home nursing: the code ranks #3 of 22 providers in-state (90th percentile) and is labeled typical, unremarkable volume. This ranking implies RIVIERA is a meaningful participant in RN home care in Alabama and has a measurable presence against a broader competitive set.

The provider also bills smaller volumes for non-skilled personal and homemaker services: T1019 (personal care services, per 15 minutes) produced $106.5K (0.7% of Medicaid revenue) over 1.5K claims and ranks #7 of 50 providers in-state (88th percentile), while S5130 (homemaker service) produced $12.5K (0.1%) from 241 claims and ranks #27 of 51 providers (48th percentile). These lower-revenue codes indicate some diversification into personal care and homemaker offerings, but they contribute only a tiny share of overall Medicaid revenue.

The payment levels by code underscore the operational model: average payments are $738/claim for S9124 and $692/claim for S9123 versus $73/claim for T1019 and $52/claim for S5130, which aligns with a workforce and cost structure weighted toward skilled nursing hours rather than low-intensity personal care. That spread between nursing-hour rates and personal-care rates is consistent with a labor-intensive home health agency model where nursing services drive revenue.

The provider’s NPI tenure (enumerated 2015-09-15, ~11 years ago) indicates an established presence in the market. Combined with the code concentration and in-state ranks, the tenure supports a picture of a stable, Medicaid-focused home health agency with concentrated exposure to a small set of nursing-hour reimbursement lines.

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
S9124	Nursing care, in the home; by licensed practical nurse, per hour	14,410	$740	$10.6M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	5,380	$690	$3.7M
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…	1,460	$70	$106.5K
S5130	Homemaker service, nos; per 15 minutes	240	$50	$12.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Riviera Health Services, LLC — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

4 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…	7	50	260	$180	$12.6M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1	10	8,140	$750	$6.1M
S5130	Homemaker service, nos; per 15 minutes	27	50	250	$30	$1.7M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	3	20	990	$280	$903.2K

Nearby Providers

Other providers in the same ZIP code as Riviera Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mtpm, LLC	AL	General Practice Dentistry	$0	$6.8M
City Of Mobile	AL	Ambulance	$606.2K	$2.5M
Loren Taylor	AL	Occupational Therapist	$30.6K	$0
Linda Sullivan	AL	Adult Health Nurse Practitioner	$20.4K	$0

Riviera Health Services, LLC — Billing Profile & Reimbursement Data

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Riviera Health Services, 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