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

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

Alpha Care Health Services Of Wi, Inc. (NPI 1811448061)

Field	Value
Entity Type	Organization
Organization	Alpha Care Health Services Of Wi, Inc.
Address	600 N Plankinton Ave # 302
City	Milwaukee
State	WI
ZIP	53203
Taxonomy	Home Health Agency
NPI Enumerated	October 21, 2016

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

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
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…	18,330	$80	$1.5M
S5130	Homemaker service, nos; per 15 minutes	1,840	$110	$200.6K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	190	$40	$8.4K
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	70	$40	$2.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Alpha Care Health Services Of Wi, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin 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…	19	50	6,290	$50	$2.5M
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	32	30	2,580	$90	$784K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	23	30	1,050	$100	$359.1K
S5130	Homemaker service, nos; per 15 minutes	14	60	870	$130	$346.7K

Nearby Providers

Other providers in the same ZIP code as Alpha Care Health Services Of Wi, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milwaukee County Department On Aging Care Management Organization	WI	Health Maintenance Organization	$0	$59.9M
Vivent Health Inc	WI	Case Management Agency	$0	$5.9M
Wisconsin Renal Care Group, L.L.C.	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.3M
Yvonne Strauss	WI	Physical Therapist	$49.5K	$0

Alpha Care Health Services Of Wi, Inc. — Billing Profile & Reimbursement Data

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Alpha Care Health Services Of Wi, Inc. — Billing Profile & Reimbursement Data

Sign up for Alpha Care Health Services Of Wi, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References