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    OpenPayerNPI Medicare & MedicaidAlivia Infusion Services LLC
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    Alivia Infusion Services LLC — Billing Profile & Reimbursement Data

    NPI 1881915031 · Ponce, PR · Home Infusion Therapy Pharmacy

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    Alivia Infusion Services LLC is a home infusion therapy pharmacy provider located in Ponce, Puerto Rico. This profile covers 0 Medicare and 10 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
    OrganizationAlivia Infusion Services LLC
    Address107 El Tuque Industrial Park
    CityPonce
    StatePR
    ZIP00728
    TaxonomyHome Infusion Therapy Pharmacy
    NPI EnumeratedJune 22, 2010

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

    Payer SourceTotal Paid
    Medicaid$10.9M
    Medicare$0

    Key Findings

    ALIVIA INFUSION SERVICES LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $10.9M in lifetime Medicaid revenue, indicating that its entire reported government revenue base in our dataset is Medicaid-driven. This payer concentration suggests operational dependence on Medicaid policies and reimbursement for home infusion services.

    Revenue concentration is high: the precomputed top three Medicaid codes account for 74.7% of this provider's total Medicaid revenue, which signals that a small set of service lines (initial IV infusion, pharmacy compounding/dispensing, and home infusion per-diem services) drive most of reported income. That concentration could create sensitivity to changes in reimbursement or utilization for those specific codes.

    The single largest revenue driver is 96365 (initial intravenous infusion up to one hour), which generated $4.5M and represents 41.3% of the provider's Medicaid revenue. ALIVIA ranks #5 of 63 providers in-state for 96365 (94th percentile) and the activity is labeled as "typical, unremarkable volume," indicating the organization is a meaningful but not anomalous participant in delivering initial IV infusions across the state.

    Two administration/coordination codes together account for a large share of revenue: S9430 (pharmacy compounding and dispensing services) and S9494 (home infusion therapy per diem) each contributed $1.8M, or 16.7% of Medicaid revenue apiece. S9430 is reported only by this provider in-state (rank #1 of 1, with no state peer comparison available), which may reflect a unique billing practice or a specialized compounding/dispensing footprint; S9494 ranks #4 of 9 providers in-state (63th percentile) and is labeled "typical, unremarkable volume," consistent with a routine home infusion administrative role.

    The code mix is strongly consistent with an outpatient parenteral antimicrobial therapy (OPAT) and home infusion pharmacy model: high-volume use of initial infusion coding (96365) plus per-diem home infusion (S9494) and compounding/dispensing (S9430) combined with multiple high-cost antibiotic J-codes (for example, J0878 daptomycin $1.1M, J1335 ertapenem $897.8K) indicates the provider delivers and manages IV antibiotic therapies and associated pharmacy services in the home setting. This combination implies responsibilities for drug procurement/compounding, care coordination, and nursing administration.

    Several single-agent antibiotic J-codes appear among secondary revenue drivers and show the provider is a leading in-state supplier for specific drugs: J0878 (daptomycin) produced $1.1M and ranks #1 of 2 providers in-state (100th percentile, labeled "typical, unremarkable volume"); J1335 (ertapenem) produced $897.8K and ranks #3 of 4 (33th percentile). These rank positions indicate ALIVIA is a primary in-state supplier for certain high-cost agents while competing modestly for others.

    Competitive standing is mixed by measure: for broad infusion activity (96365) ALIVIA is in the upper decile statewide (94th percentile) among a large cohort (63 providers), showing strong placement in initial IV infusion volume; for some specialized codes it is either the sole reporter in-state (S9430) or a top reporter among very few peers (multiple J-codes rank #1 of small N), which suggests strength in niche dispensing/antibiotic supplies but not necessarily large-scale dominance across all home infusion services.

    The provider has an established tenure in the dataset—its NPI was enumerated on 2010-06-22 (~16 years ago)—which supports that the observed billing profile reflects a multi-year operational presence rather than a recent entrant. Given the long tenure plus concentrated Medicaid revenue and code mix centered on IV antibiotics and home infusion coordination, analysts should view ALIVIA as a specialized, Medicaid-focused home infusion pharmacy with exposure to a few high-revenue codes and potential sensitivity to reimbursement or utilization shifts for those services.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.5,540$820$4.5M
    S9430Pharmacy compounding and dispensing services2,380$770$1.8M
    S9494Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…1,900$960$1.8M
    J0878Injection, daptomycin, 1 mg750$1,430$1.1M
    J1335Injection, ertapenem sodium, 500 mg1,450$620$897.8K
    J2185Injection, meropenem, 100 mg550$570$310.2K
    J0696Injection, ceftriaxone sodium, per 250 mg840$190$156.1K
    J0692Injection, cefepime hydrochloride, 500 mg990$160$153.8K
    J3370Injection, vancomycin hcl, 500 mg660$210$135.8K
    J2543Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)110$320$35.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Puerto Rico median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9430Pharmacy compounding and dispensing services1102,380$770$1.8M
    J0878Injection, daptomycin, 1 mg110660$1,050$691.7K
    J1335Injection, ertapenem sodium, 500 mg3101,550$350$479.8K
    S9494Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…4101,710$100$394.7K
    J2185Injection, meropenem, 100 mg110310$530$161.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.560240$100$147.6K
    J0692Injection, cefepime hydrochloride, 500 mg110600$140$85.8K
    J3370Injection, vancomycin hcl, 500 mg110510$120$53.2K
    J0696Injection, ceftriaxone sodium, per 250 mg42060$30$25.6K
    J2543Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)11090$250$22.2K

    Nearby Providers

    Other providers in the same ZIP code as Alivia Infusion Services LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lubilu Therapy Group, LLCPRSpeech-Language Pathologist$0$9.2M
    Laboratorio La Providencia De PoncePRClinical Medical Laboratory$16.4K$1.7M
    Sheila Colon VillarrubiaPRPublic Health & General Preventive Medicine Physician$0$1.2M
    S & R Laboratorio Clinico CorpPRClinical Medical Laboratory$1.7K$846.2K
    Miguel Echevarria RodriguezPRDiagnostic Radiology Physician$0$820.6K
    Sergio Collazo SrPRLand Ambulance$12.8K$753.9K
    Laboratorio Clinico El Tuque, IncPRClinical Medical Laboratory$1.4K$696.7K
    Jesus Rodriguez RodriguezPRGeneral Practice Physician$6.6K$224.2K
    Walgreen CoPRPharmacy$60.7K$0
    Luis Rodriguez HernandezPRInternal Medicine Physician$14.9K$8.3K

    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. Puerto Rico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Alivia Infusion Services LLC — 5 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico