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

Why is the Medicaid comparison limited to Maine 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. Maine (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 One (NPI 1821232802)

Field	Value
Entity Type	Organization
Organization	Alpha One
Address	127 Main St
City	South Portland
State	ME
ZIP	04106
Taxonomy	Case Management Agency
NPI Enumerated	April 22, 2009

Payer Source	Total Paid
Medicaid	$121.3M
Medicare	$0

Key Findings

ALPHA ONE’s Medicaid business is overwhelmingly concentrated in personal attendant services: S5125 (Attendant care services; per 15 minutes) accounts for $107.2M in revenue, representing 88.4% of the provider’s $121.3M Medicaid revenue, and the precomputed top-three codes together account for 95.5% of total Medicaid revenue. This mix indicates ALPHA ONE operates primarily as a hands-on home- and community-based attendant care provider rather than as a broad multi-service health organization.

The provider is effectively single‑payer at scale: Medicaid revenue is $121.3M while there is no Medicare billing on file, so ALPHA ONE’s financial exposure is concentrated to state Medicaid policies and reimbursement changes rather than dual-payer dynamics. That concentration increases sensitivity to state program edits, rate adjustments, or waiver policy changes.

ALPHA ONE holds a dominant in-state position for S5125, ranking #1 of 2 providers in-state (100th percentile), which signals market leadership in attendant care volume within Maine even though the activity level for this code is labeled “typical, unremarkable volume for this code.” This dominance in a single code explains the provider’s high overall Medicaid revenue and suggests a narrow operational focus.

The provider is an extreme outlier on the case management monthly code T2022: it reported $6.1M (5.1% of Medicaid revenue) and ranks #2 of 36 providers in-state (97th percentile; extreme outlier, far above typical state volume). This unusually high T2022 billing relative to peers points to substantial managed-care or waiver case-management activity that is materially contributing to revenue beyond the core attendant-care line.

ALPHA ONE’s portfolio includes ancillary waiver and support services that complement attendant care, including T2040 (Financial management, self-directed, waiver; per 15 minutes) at $2.1M (1.7%) and T1005 (Respite care services, up to 15 minutes) at $2M (1.6%), both ranked #1 in small peer sets (T2040 #1 of 2, 100th percentile; T1005 #1 of 18, 100th percentile). The presence of these codes alongside T1016 (Case management, each 15 minutes; $1.4M, 1.1%, rank #2 of 8, 86th percentile) indicates ALPHA ONE delivers a bundle of home- and waiver-related supports beyond basic attendant time.

The G9002 coordinated care fee is a modest revenue contributor at $2.5M (2.1% of Medicaid revenue) and ranks #2 of 3 in-state (50th percentile), reflecting a mid-level role in coordinated-care arrangements rather than dominance. Together with the code-level rank and percentile mix, this suggests ALPHA ONE’s competitive position is strongest in direct attendant care and certain waiver services while it is less differentiated in broader coordinated-care fee arrangements.

ALPHA ONE is a long‑tenured Medicaid participant, with its NPI enumerated on 2009-04-22 (~17 years ago), indicating established operations and sustained billing relationships with the state. This longevity, combined with the concentrated revenue base, implies operational stability within a narrowly defined service model but also highlights strategic vulnerability if state policy or rate structures for the dominant codes change.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	850,870	$130	$107.2M
T2022	Case management, per month	42,650	$140	$6.1M
G9002	Coordinated care fee, maintenance rate	83,720	$30	$2.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	25,060	$80	$2.1M
T1005	Respite care services, up to 15 minutes	27,990	$70	$2M
T1016	Case management, each 15 minutes	44,030	$30	$1.4M
H2014	Skills training and development, per 15 minutes	990	$50	$47.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Alpha One — 4 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	1	10	464,750	$160	$74.7M
G9002	Coordinated care fee, maintenance rate	2	10	83,720	$40	$4.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	1	10	17,850	$90	$1.5M
T1016	Case management, each 15 minutes	2	10	20,670	$40	$1.3M
T2022	Case management, per month	2	40	800	$190	$780.3K
H2014	Skills training and development, per 15 minutes	8	10	990	$110	$437.2K
T1005	Respite care services, up to 15 minutes	1	20	590	$90	$407.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Port Resources	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$82.9M
The Opportunity Alliance	ME	Mental Illness Community Based Residential Treatment Facility	$0	$50.6M
Community Home Health Care	ME	In Home Supportive Care Agency	$0	$40.3M
Serenity Residential Care, LLC	ME	In Home Supportive Care Agency	$0	$34.4M
Noreast Home Care, LLC	ME	In Home Supportive Care Agency	$0	$24.7M
Center For Behavioral Health Me, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$536.2K	$20.1M
Connections For Kids	ME	Social Worker	$0	$13.8M
Vna Home Health & Hospice	ME	Home Health Agency	$227.2K	$10.4M
Standard Care, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M
Peace Residential Care LLC	ME	In Home Supportive Care Agency	$0	$7.9M

Alpha One — Billing Profile & Reimbursement Data

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Alpha One — 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