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    OpenPayerNPI Medicare & MedicaidAll Valley Home Health Care & Nursing Inc
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    All Valley Home Health Care & Nursing Inc — Billing Profile & Reimbursement Data

    NPI 1831278688 · Phoenix, AZ · Home Health Agency

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    All Valley Home Health Care & Nursing Inc is a home health agency provider located in Phoenix, Arizona. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAll Valley Home Health Care & Nursing Inc
    Address7227 N 16th St
    CityPhoenix
    StateAZ
    ZIP85020
    TaxonomyHome Health Agency
    NPI EnumeratedNovember 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$55.7M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused operator: there is no Medicare billing on file and the provider reports $55.7M in lifetime Medicaid revenue, making Medicaid the sole documented payer-driving revenue in the dataset. The absence of Medicare activity indicates the business is concentrated in state-funded home- and community-based services rather than fee-for-service Medicare skilled home health lines.

    The provider has long tenure in Medicare/Medicaid enrollment, with its NPI enumerated on 2006-11-03 (~20 years ago), indicating roughly two decades of operation that could support established contracts and referral relationships with state Medicaid channels. Longevity increases the likelihood that current code mix reflects an intentional service model rather than a recent pivot.

    Revenue concentration is extremely high: the precomputed top-3 Medicaid codes account for 99.7% of this provider’s total Medicaid revenue, and a single code, S5125, generates $53.8M (96.5% of total Medicaid revenue). That concentration makes S5125 the dominant revenue driver and suggests the business depends heavily on the utilization and reimbursement stability of that single service.

    The top codes describe a non-skilled, personal-support service model: S5125 (Attendant care services; per 15 minutes), S5150 (Unskilled respite care; per 15 minutes), and S5130 (Homemaker service; per 15 minutes) together reflect a focus on attendant/personal care, respite, and homemaker supports rather than skilled nursing or therapy. This code mix is consistent with an agency positioned to deliver long-duration, hands-on assistance and homemaker/companion services as its primary product offering.

    Operationally, S5125 shows both high volume and high average payment per claim — 105.2K claims at $511 avg paid/claim — indicating sustained, high-utilization delivery of attendant care services. Despite the large absolute volumes and revenue, the provider’s rank on S5125 is #42 of 223 providers in-state (82th percentile) and is described as "typical, unremarkable volume for this code," which characterizes the provider as an active but not dominant statewide participant for that service.

    Other Medicaid codes add modestly to revenue and appear typical in-state: S5150 produced $1.3M (2.2% of revenue) across 5K claims and ranks #98 of 192 (49th percentile), and S5130 produced $513.6K (0.9% of revenue) across 4.2K claims and ranks #6 of 14 (62th percentile); both are labeled typical, unremarkable volume for their codes. These secondary services support the attendant-care core but do not materially diversify the payer-revenue concentration.

    A few additional billed codes are present at very small scale and typical state-volume levels — for example, S5135 ($122.4K, 1K claims; 38th percentile) and T1019 ($26.8K, 263 claims; 33th percentile). One unusual entry, S5136 (per diem companion care), shows $13.4K and 28 claims and is listed as #1 of 1 providers in-state with no peer-volume comparison available; however, its absolute revenue contribution is negligible relative to the $55.7M Medicaid total.

    From a risk and strategic perspective, the provider’s heavy dependence on S5125 creates sensitivity to changes in policy, utilization, or reimbursement for attendant care: because 96.5% of Medicaid revenue flows from that single code and the top three codes account for 99.7% of revenue, any material change affecting those services would disproportionately impact overall revenue. Analysts should treat the entity as a specialized, Medicaid-centric attendant-care provider with limited diversification into other payers or service lines.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes105,240$510$53.8M
    S5150Unskilled respite care, not hospice; per 15 minutes4,990$250$1.3M
    S5130Homemaker service, nos; per 15 minutes4,210$120$513.6K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes1,050$120$122.4K
    T1019Personal 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…260$100$26.8K
    S5136Companion care, adult (e.g., iadl/adl); per diem30$480$13.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Arizona median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes4222024,500$120$15.5M
    S5150Unskilled respite care, not hospice; per 15 minutes981905,090$100$2.9M
    T1019Personal 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…5070820$30$388.1K
    S5130Homemaker service, nos; per 15 minutes6103,750$80$379.8K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes16301,470$60$163.8K
    S5136Companion care, adult (e.g., iadl/adl); per diem11030$480$13.4K

    Nearby Providers

    Other providers in the same ZIP code as All Valley Home Health Care & Nursing Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    HonorhealthAZGeneral Acute Care Hospital$0$107.2M
    Bowie Investment Group IncAZHome Health Agency$0$31.9M
    Gina PalaciosAZNurse Practitioner$27M$0
    Affiliated Hospitalists, PlcAZHospitalist Physician$0$21M
    Neighborhood Outreach Access To HealthAZFederally Qualified Health Center (FQHC)$0$19.6M
    Avista Senior Living Desert Springs, LLCAZAssisted Living Facility$0$17.6M
    Unomed LLCAZCritical Care Medicine (Internal Medicine) Physician$0$15.4M
    Bayada Home Health Care, Inc.AZHome Health Agency$0$10.7M
    Emcare - Pnx Emergency Physicians LLCAZEmergency Medicine Physician$0$9.6M
    Providence General Medicine, PCAZInternal Medicine Physician$0$8.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arizona Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    All Valley Home Health Care & Nursing Inc — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona