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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Nursing (NPI 1750457297)

Field	Value
Entity Type	Organization
Organization	Alliance Nursing
Address	14615 Ne North Woodinville Way # 108
City	Woodinville
State	WA
ZIP	98072
Taxonomy	Home Health Agency
NPI Enumerated	November 27, 2006

Payer Source	Total Paid
Medicaid	$36.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer operator: there is no Medicare billing on file while total Medicaid revenue is $36.9M, indicating Medicaid is the sole recorded public-payer revenue stream for this NPI. Analysts should treat the provider’s financial and utilization profile as Medicaid-driven rather than split across Medicare and Medicaid.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with T1020 alone representing $26.9M (72.8% of Medicaid revenue). T1000 contributes $9.7M (26.3%) and T1002 contributes $338.9K (0.9%), so marginal codes beyond these three are immaterial to overall Medicaid revenue.

The code mix points to a business model centered on routine personal care and private-duty nursing rather than skilled Medicare home-health services. T1020 (Personal care services, per diem) accounts for 37.2K claims and dominates revenue, while T1000 (Private duty / independent nursing, up to 15 minutes) has 21.1K claims; together they imply high-volume, ongoing personal-care and private-duty nursing delivery in community/home settings.

Utilization patterns show large claim volumes for per-diem and short-interval nursing services: 37.2K claims for T1020 and 21.1K claims for T1000 indicate a high-frequency service model, whereas T1002 (RN services, up to 15 minutes) is comparatively small at 1K claims. This mix suggests capacity and operational emphasis on repeated personal care shifts and private-duty nursing encounters rather than episodic skilled nursing visits.

Competitive standing varies by code within the state: for T1020 the provider ranks #1 of 2 in-state and is at the 100th percentile, signaling dominance for that specific code within a very small competitive set. For T1000 the provider ranks #7 of 14 (54th percentile), indicating a roughly mid-tier position among in-state peers, and for T1002 it ranks #36 of 64 (44th percentile), a modest presence for RN services.

Despite T1020’s large share of this provider’s Medicaid revenue, the dataset characterizes volumes for these top codes as "typical, unremarkable volume for this code." Analysts should note that the provider’s high absolute revenue concentration does not appear in the data as an unusual statistical outlier for these codes.

The provider has long tenure on file, with its NPI enumerated on 2006-11-27 (~20 years ago), which supports analysis of this pattern as an established operational profile rather than a recent market entrant or short-lived programmatic spike.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, 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…	37,150	$720	$26.9M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	21,110	$460	$9.7M
T1002	Rn services, up to 15 minutes	1,030	$330	$338.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Alliance Nursing — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, 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	10	20,600	$650	$13.5M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	7	10	14,140	$490	$12.6M
T1002	Rn services, up to 15 minutes	36	60	1,140	$100	$493.3K

Nearby Providers

Other providers in the same ZIP code as Alliance Nursing, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optum Infusion Services 501 Inc	WA	Home Infusion Therapy Pharmacy	$0	$3.3M
Manisha Ramdev	WA	Family Nurse Practitioner	$254.1K	$0
Jennifer Kuehl	WA	Family Nurse Practitioner	$81.2K	$0
Danielle Debelak	WA	Family Medicine Physician	$47K	$0
Lynn Albertson	WA	Family Nurse Practitioner	$29.2K	$0
Evghenii Jignea	WA	Psychiatric/Mental Health Nurse Practitioner	$13.4K	$0
Prescriptions Etc Inc	WA	Long Term Care Pharmacy	$3.7K	$0

Alliance Nursing — Billing Profile & Reimbursement Data

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Alliance Nursing — 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