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

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

Assisted Living Transitions (NPI 1790086247)

Field	Value
Entity Type	Organization
Organization	Assisted Living Transitions
Address	3154 Campbell Airstrip Rd
City	Anchorage
State	AK
ZIP	99504
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 15, 2010

Payer Source	Total Paid
Medicaid	$16.2M
Medicare	$0

Key Findings

ASSISTED LIVING TRANSITIONS operates primarily as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, with its Medicaid billing dominated by residential habilitation services; the top revenue-driving code is T2016 (Habilitation, residential, waiver; per diem), and the presence of T2021 (Day habilitation, waiver; per 15 minutes) indicates a mix of residential and day habilitation offerings. The code mix points to a business model centered on per-diem residential habilitation complemented by time-based day services rather than fee-for-service medical procedures.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with T2016 alone comprising 95.6% of Medicaid revenue ($15.5M of $16.2M). This indicates near-total dependence on a very small set of waiver habilitation codes for fiscal throughput.

This provider is effectively single-payer at scale for the period on file: there is no Medicare billing on record while Medicaid revenue totals $16.2M. The absence of Medicare activity means payer diversification is minimal and the organization’s financial performance is tightly coupled to Medicaid waiver program policies and reimbursement.

Operational scale within the dominant code is substantive: T2016 shows 47.2K claims at an average paid amount of $328 per claim, consistent with per-diem residential funding models and implying a sustained census or many billed service-days. By contrast, T2021 accounts for 4.1K claims with an average paid amount of $172 per claim, reflecting a much smaller contribution from day habilitation services.

State-level competitive standing for the residential habilitation line is above median but not monopolistic: the provider ranks #6 of 31 in-state for T2016 and is in the 83th percentile, which places it among higher-volume providers statewide but short of a dominant position. For day habilitation, the provider ranks #44 of 61 and is at the 28th percentile for T2021, indicating only modest participation in that service relative to peers.

Despite the high revenue share concentrated in T2016, both top billed codes are flagged as "typical, unremarkable volume" in the supplied data; this suggests the provider’s utilization patterns for these waivered habilitation services fall within normal statewide ranges rather than representing an extreme outlier. Analysts should interpret the high concentration as strategic focus rather than an anomalous billing pattern.

The provider’s enrollment history shows an NPI enumeration date of 2010-11-15 (~16 years ago), indicating an established operating history in the market. That tenure supports interpretation of the observed revenue mix as a sustained operating model rather than a short-term or newly shifted strategy.

Because nearly all Medicaid revenue flows through a small set of waiver habilitation codes, the provider’s financial exposure is concentrated: changes to waiver policy, per-diem rates, or enrollee mix could materially impact revenue. Monitoring state waiver rule changes and comparative reimbursement trends for T2016 and T2021 is therefore particularly relevant for payers and provider network planners assessing risk and capacity in this segment.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	47,160	$330	$15.5M
T2021	Day habilitation, waiver; per 15 minutes	4,090	$170	$703.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Assisted Living Transitions — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	6	30	22,540	$360	$13M
T2021	Day habilitation, waiver; per 15 minutes	44	60	11,640	$150	$3.5M

Nearby Providers

Other providers in the same ZIP code as Assisted Living Transitions, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denali Family Services	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.2M
Frontier Home Health Care	AK	Assisted Living Facility (Mental Illness)	$0	$11.3M
Reliance Care Inc	AK	Supports Brokerage Agency	$0	$8.4M
Denali Family Services	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.3M
Northern Light Adult Day Services, LLC	AK	Alzheimer Center (Dementia Center)	$0	$7.2M
Just Kids, Inc	AK	Pediatric Dentistry	$0	$5M
Anchorage School District	AK	Local Education Agency (LEA)	$0	$5M
Caring Companions LLC	AK	Home Health Agency	$0	$3.9M
Ad Partners Ii, LLC	AK	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.8M
Abacus Care Coordination	AK	Case Management Agency	$0	$2.7M

Assisted Living Transitions — Billing Profile & Reimbursement Data

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Assisted Living Transitions — 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