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

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

Alaska Consumer Direct Personal Care, LLC (NPI 1942345178)

Field	Value
Entity Type	Organization
Organization	Alaska Consumer Direct Personal Care, LLC
Address	615 E 82nd Ave
City	Anchorage
State	AK
ZIP	99518
Taxonomy	Personal Care Attendant
NPI Enumerated	February 21, 2007

Payer Source	Total Paid
Medicaid	$113.4M
Medicare	$0

Key Findings

ALASKA CONSUMER DIRECT PERSONAL CARE, LLC appears to be effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $113.4M in lifetime Medicaid revenue, making Medicaid the sole material payer in this dataset. This single-payer footprint implies care and reimbursement risk are concentrated in state Medicaid policy and waiver programs rather than Medicare fee schedules.

Revenue is highly concentrated in a small set of personal-care and habilitation codes: T1019 (28.9%), T2017 (23.3%) and S5125 (23.2%) are the top three revenue drivers and — per precomputed data — collectively account for 75.3% of this provider’s Medicaid revenue. That level of concentration indicates the business is structured around a narrow set of service types rather than a broad mix of medical procedures.

Code-level payments and volumes underscore a high-intensity, time-based service model: T1019 shows 376.2K claims at $87 avg paid/claim, T2017 has 109.9K claims at $240 avg paid/claim, and S5125 records 215.7K claims at $122 avg paid/claim. These tallies and per-15-minute payment structures are consistent with large-scale personal care/attendant and waiver habilitation operations that bill high-frequency, short-interval units rather than episodic medical procedures.

Competitive standing in-state is dominant for core services: the provider ranks #1 of 30 for T1019, #1 of 34 for T2017 and #1 of 21 for S5125, each at the 100th percentile and labeled an "extreme outlier." These rankings indicate the entity is a major statewide player for personal care and waiver habilitation services and operates at a volume far above typical state peers for those codes.

The provider also shows material activity in complementary service lines that broaden its Medicaid exposure beyond the top three codes: T2021 (day habilitation) accounts for $14.7M and ranks #4 of 61 providers at the 95th percentile, while S5150 (unskilled respite, per 15 minutes) yields $10.6M and ranks #1 of 37 at the 100th percentile. Secondary codes such as S5151 (per diem respite, $2M, #1 of 9) and S5120 (chore services, $639.6K, #1 of 5) suggest the provider is integrated across multiple waiver and community-support service lines rather than strictly a single-service shop.

Operational scale is substantial: multi-hundred-thousand claim counts (e.g., 376.2K for T1019, 215.7K for S5125, 109.9K for T2017) point to large staffing and scheduling operations to deliver per-15-minute services at volume. For payers and network managers this implies capacity and utilization considerations (workforce supply, shift coverage, and unit-based billing oversight) will drive contracting and monitoring priorities.

Tenure is long-standing: the NPI was enumerated on 2007-02-21 (~19 years ago), indicating this provider has an established presence in the Alaska personal care and waiver market. That longevity, coupled with the provider’s dominant in-state rankings, suggests sustained market share rather than a recent volume spike.

Given the combination of extreme outlier status on multiple core codes, high revenue concentration (75.3% in the top three codes), and large claim volumes, this profile warrants close payer monitoring for program integrity, utilization patterns, and contract performance metrics. From a network and rate-setting perspective, payers should treat this entity as a major single-provider exposure in Alaska’s home- and community-based service markets and consider targeted audits, utilization reviews, or tailored contract terms to manage financial and operational risk.

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
T1019	Personal 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…	376,160	$90	$32.7M
T2017	Habilitation, residential, waiver; 15 minutes	109,880	$240	$26.4M
S5125	Attendant care services; per 15 minutes	215,670	$120	$26.3M
T2021	Day habilitation, waiver; per 15 minutes	87,220	$170	$14.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	115,500	$90	$10.6M
S5151	Unskilled respite care, not hospice; per diem	6,020	$340	$2M
S5120	Chore services; per 15 minutes	12,540	$50	$639.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Alaska Consumer Direct Personal Care, LLC — 6 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	1	30	17,510	$250	$6.5M
T1019	Personal 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…	1	30	38,770	$70	$6M
S5125	Attendant care services; per 15 minutes	1	20	38,630	$110	$5.4M
T2021	Day habilitation, waiver; per 15 minutes	4	60	11,640	$150	$3.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	1	40	16,160	$80	$2M
S5151	Unskilled respite care, not hospice; per diem	1	10	1,050	$320	$656.7K
S5120	Chore services; per 15 minutes	1	10	3,570	$50	$274.3K

Nearby Providers

Other providers in the same ZIP code as Alaska Consumer Direct Personal Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Community Resources Inc	AK	Respite Care	$0	$161.2M
Cindy And Vics R & R, Inc	AK	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$14.2M
Hope Community Resources Inc	AK	Community/Behavioral Health Agency	$0	$8.3M
Greenwood Care Services, LLC	AK	In Home Supportive Care Agency	$0	$5.7M
Aleutian Pribilof Islands Association, Inc.	AK	Counselor	$0	$5.1M
Health Court Foods,inc.	AK	Home Delivered Meals	$0	$4.2M
Julieta Orres	AK	Community Health Worker	$0	$4.2M
Alaska Yellow Dispatch LLC	AK	Taxi	$0	$2.5M
Northwest Medical, LLC.	AK	Oxygen Equipment & Supplies (DME)	$0	$2.2M
Stephanie Pereault	AK	Case Manager/Care Coordinator	$0	$628.6K

Alaska Consumer Direct Personal Care, LLC — Billing Profile & Reimbursement Data

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Alaska Consumer Direct Personal Care, LLC — 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