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

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

Valentines Home Care, Inc. (NPI 1851489702)

Field	Value
Entity Type	Organization
Organization	Valentines Home Care, Inc.
Address	102 Oxmoor Rd Ste 128
City	Birmingham
State	AL
ZIP	35209
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

Key Findings

VALENTINES HOME CARE, INC. is effectively a Medicaid-focused durable medical equipment supplier: lifetime Medicaid revenue is $13.6M and there is no Medicare billing on file, so its current billed activity is single-payer (Medicaid) in scale and scope. This payer concentration means any analyses of its business risk or network impact should treat Medicaid reimbursement policy and member mix as the primary drivers of its financial profile.

Revenue is highly concentrated in three diabetes-related codes: the precomputed top 3 codes account for 90.6% of this provider's total Medicaid revenue. Those top codes are A4253 ($10M, 73.4% of total Medicaid revenue), A4259 ($1.5M, 10.9%), and E0607 ($873.3K, 6.4%), indicating the bulk of cashflow comes from a narrow set of consumables and monitors.

The provider’s code mix and volumes point to a specialized diabetes-supplies business model rather than a diversified DME portfolio. A4253 (blood glucose test strips) shows 169.5K claims and A4259 (lancets) shows 164.4K claims, while E0607 (home blood glucose monitor) has 17.5K claims, which collectively suggest operations centered on high-volume distribution of self-testing supplies and associated meters.

VALENTINES is a dominant statewide supplier for its top consumable codes: A4253 ranks #1 of 137 providers in Alabama and is labeled an "extreme outlier," and A4259 ranks #1 of 50 providers and is also an "extreme outlier." E0607 ranks #1 of 5 providers in-state and is described as "notably above typical" volume. These rankings indicate market-leading share for key diabetes supplies within the state.

Operationally, the economics appear to be volume-driven, low-dollar-unit transactions rather than high-ticket durable goods. The average paid per claim is $59 for A4253 and $9 for A4259, combined with very large claim counts, which implies revenue depends on scale and frequent replenishment rather than large single-item margins.

There is a measurable but much smaller presence in continuous glucose monitoring (CGM) and related accessories. A9276 (CGM sensor) contributes $174.9K and ranks #4 of 8 providers (57th percentile, typical), while A4239 and K0553 supply allowances and A9278 receiver/monitor activity are present at modest levels; these items represent ancillary product lines rather than primary revenue drivers.

The provider has a long-tenured enrollment (NPI enumerated 2006-10-10, ~20 years ago), indicating an established operational history in Alabama. Taken together—$13.6M lifetime Medicaid revenue, extreme outlier rankings on core diabetes supplies, and two decades of enrollment—this profile describes a long-standing, high-volume diabetes consumables supplier with concentrated revenue exposure to a small set of Medicaid-covered codes.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	169,500	$60	$10M
A4259	Lancets, per box of 100	164,380	$10	$1.5M
E0607	Home blood glucose monitor	17,470	$50	$873.3K
A4256	Normal, low and high calibrator solution / chips	61,580	$10	$554.2K
A4258	Spring-powered device for lancet, each	32,620	$10	$424K
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1,420	$120	$174.9K
A4235	Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each	33,460	$1	$66.9K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	570	$70	$39.9K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	250	$30	$7.7K
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	190	$10	$2.7K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Valentines Home Care, Inc. — 6 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	4	10	1,090	$360	$893.5K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	5	10	500	$360	$290.2K
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	5	10	250	$270	$280.9K
E0607	Home blood glucose monitor	1	10	1,600	$50	$222.8K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	1	140	130	$70	$164.2K
A4256	Normal, low and high calibrator solution / chips	1	10	1,440	$10	$105.3K
A4258	Spring-powered device for lancet, each	1	10	2,080	$10	$87.1K
A4259	Lancets, per box of 100	1	50	60	$10	$66.9K
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	4	10	260	$200	$60.7K
A4354	Insertion tray with drainage bag but without catheter	2	10	1,340	$20	$21.2K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Valentines Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Core Diagnostic Laboratories LLC	AL	Clinical Medical Laboratory	$1.3M	$44.2M
Lab Works, LLC	AL	Clinical Medical Laboratory	$738.4K	$41.6M
Devansh Lab Werks,inc	AL	Clinical Medical Laboratory	$1.9M	$5.9M
Grayson And Associates PC	AL	Psychiatry Physician	$0	$5M
Affinity Acquisitions, LLC	AL	Community Based Hospice Care Agency	$0	$4.8M
Metro Pediatrics PC	AL	Specialist	$0	$4.5M
Birmingham Radiological Group PC	AL	Diagnostic Radiology Physician	$0	$3.5M
Proteus Molecular And Clinical Lab LLC	AL	Clinical Medical Laboratory	$236.9K	$3.2M
Greg Eudy	AL	Rheumatology Physician	$3.3M	$0
Luigi Bertoli	AL	Hematology (Internal Medicine) Physician	$2.8M	$0

Valentines Home Care, Inc. — Billing Profile & Reimbursement Data

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Valentines Home Care, Inc. — 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