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NPI 1760418370 · Livermore, CA · Durable Medical Equipment & Medical Supplies
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Alere Home Monitoring, Inc. is a durable medical equipment & medical supplies provider located in Livermore, California. This profile covers 2 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Alere Home Monitoring, Inc. |
| Address | 6465 National Drive |
| City | Livermore |
| State | CA |
| ZIP | 94550 |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| NPI Enumerated | June 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $20.7M |
| Medicaid | $2.5M |
ALERE HOME MONITORING, INC. operates as a focused durable medical equipment and home monitoring supplier: its billing is dominated by anticoagulation home INR monitoring services, with G0249 (provision of test materials and equipment for home INR monitoring) and G0248 (pre-initiation demonstration and training) forming the visible service mix across payers. Medicare-level billing shows 294.8K claims for G0249 and 4.6K claims for G0248, while Medicaid shows 89.2K claims for G0249 and 2.3K claims for G0248, indicating operational emphasis on supplying test materials and patient education for home INR testing rather than a broader DME catalogue.
Revenue concentration is extremely high: the precomputed top-3 codes account for 100.0% of this provider's total Medicare revenue and 100.0% of its total Medicaid revenue, meaning billing is effectively limited to a very small set of anticoagulation-related services. This concentration implies financial exposure to reimbursement changes or utilization trends specifically for INR home monitoring codes.
Medicare revenue is substantially larger than Medicaid revenue in scale: lifetime Medicare revenue is $20.7M versus lifetime Medicaid revenue of $2.5M, so the provider’s business is Medicare-centric in dollar terms. Within Medicare, G0249 alone represents $20.3M in revenue (97.8% of the provider's Medicare revenue), confirming that nearly the entire Medicare book-of-business is driven by a single supply-focused code.
G0249 is a national outlier on Medicare: the provider ranks #2 of 65 nationally for G0249 at the 98th percentile and is labeled an "extreme outlier, far above typical national volume for this code." That national standing, combined with 294.8K Medicare claims and $20.3M revenue for G0249, positions the entity as a major national participant specifically for home INR testing supplies under Medicare.
The provider’s competitive standing in Medicaid is more modest relative to its Medicare profile: G0249 ranks #2 of 6 in-state at the 80th percentile with $2.3M revenue and 89.2K claims, a typical (unremarkable) in-state volume for this code. This contrast—extreme national prominence on Medicare but only a strong yet typical in-state presence on Medicaid—suggests different market dynamics or payer mix penetration between federal and state programs.
G0248 (the face-to-face demonstration/training code) contributes only a small share of revenue on both payers, totaling $466.5K on Medicare (2.2% of Medicare revenue) and $109.8K on Medicaid (4.5% of Medicaid revenue). The parallel rank positions (#2 nationally for Medicare G0248 and #2 in-state for Medicaid G0248) indicate the provider consistently bills the training/demo component alongside its supply shipments, but that training is a minor revenue driver compared with supply provision under G0249.
Other billed codes are negligible in financial impact: Medicaid shows 124 claims for 99070 with $0 average paid/claim and $0 revenue, ranking #358 of 509 in-state (29th percentile), underscoring that non-INR supply codes do not materially contribute to topline Medicaid revenue. The billing footprint is therefore narrowly concentrated on INR-related supplies and associated demonstration services.
The provider has an established enrollment history, with NPI enumeration dated 2006-06-24 (~20 years ago), which, together with high claim volumes (e.g., 294.8K Medicare claims for G0249 and 89.2K Medicaid claims for G0249), suggests a sustained, high-volume operational model focused on recurring provision of home INR test materials and related patient training. This tenure and volume profile reflect a mature, specialized supplier rather than a new entrant or diversified DME vendor.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 294,820 | $70 | $20.3M |
| G0248 | Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 4,620 | $100 | $466.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
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 |
|---|---|---|---|---|
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 89,170 | $30 | $2.3M |
| G0248 | Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 2,290 | $50 | $109.8K |
| 99070 | Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,… | 120 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 2 | 10 | 5,370 | $20 | $726.9K |
| 99070 | Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,… | 358 | 510 | 500 | $10 | $89.3K |
| G0248 | Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage… | 2 | 10 | 2,670 | $30 | $84.7K |
Other providers in the same ZIP code as Alere Home Monitoring, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Dan Azar | CA | Occupational Medicine Physician | $789.3K | $0 |
| Scott Kamena | CA | Optometrist | $22.1K | $0 |
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