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

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

Alphacare PLLC (NPI 1881994101)

Field	Value
Entity Type	Organization
Organization	Alphacare PLLC
Address	19212 Greenery Ln
City	Edmond
State	OK
ZIP	73012
Taxonomy	Physical Therapist
NPI Enumerated	November 2, 2010

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	63,850	$80	$5.2M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	9,080	$90	$799.1K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	7,470	$90	$665.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Alphacare PLLC — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	1	10	2,270	$80	$842.2K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	3	10	6,200	$80	$605.7K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	4	20	2,690	$80	$323.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brent Byers	OK	Nurse Practitioner	$9.8M	$0
Roberts Group Counseling	OK	Mental Health Counselor	$0	$2M
Andrew Stone	OK	Diagnostic Radiology Physician	$130.5K	$0
Jeffrey Shelton	OK	Diagnostic Radiology Physician	$88K	$0
Mark Stout	OK	Physician Assistant	$83.5K	$0
Eric Campbell	OK	Physician Assistant	$75.9K	$0
Peak Laboratories, LLC	OK	Clinical Medical Laboratory	$54K	$120
Kent Smalley	OK	Neuromusculoskeletal Medicine & OMM Physician	$31.9K	$0
Cristina Solis	OK	Family Medicine Physician	$22.4K	$0

Alphacare PLLC — Billing Profile & Reimbursement Data

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Alphacare PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References