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.

Alternacare, Inc (NPI 1982945820)

Field	Value
Entity Type	Organization
Organization	Alternacare, Inc
Address	1601 N Main St Ste B
City	Muskogee
State	OK
ZIP	74401
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	March 1, 2013

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	35,470	$60	$2M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	12,910	$120	$1.5M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	14,720	$100	$1.4M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	13,840	$90	$1.2M
T4541	Incontinence product, disposable underpad, large, each	26,820	$40	$1M
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	3,980	$170	$660.8K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	2,520	$170	$420.2K
T4537	Incontinence product, protective underpad, reusable, bed size, each	4,790	$90	$416.5K
E1399	Durable medical equipment, miscellaneous	1,020	$190	$189.7K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	1,310	$140	$178.3K

Showing 1–10 of 38

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

Alternacare, Inc — 3 of 25 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	5	50	2,650	$60	$485.9K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	5	10	1,210	$130	$460.7K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	5	10	620	$30	$410.6K
T4541	Incontinence product, disposable underpad, large, each	4	50	2,210	$60	$403.8K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	3	50	1,510	$100	$380.3K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	3	40	1,240	$120	$338.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	4	40	1,350	$90	$337.5K
E1399	Durable medical equipment, miscellaneous	8	30	280	$330	$285.4K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	63	80	2,650	$50	$260.2K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	7	20	420	$150	$254.1K

Showing 1–10 of 38

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green Country Behavioral Health Services, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$21.8M
Saint Francis Hospital Muskogee Inc	OK	General Acute Care Hospital	$0	$16.8M
Gaddy Discount Drug Inc	OK	Community/Retail Pharmacy	$3.1K	$13.9M
Monarch, Inc	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.2M
Mobility Plus LLC	OK	Oxygen Equipment & Supplies (DME)	$0	$6M
Counseling Works Inc.	OK	Community/Behavioral Health Agency	$0	$5.2M
Integrity Pathways Inc	OK	Community/Behavioral Health Agency	$0	$4.5M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$4.4M
Urgent Care Of Muskogee PLLC	OK	Medical Specialty Clinic/Center	$0	$4.4M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$4M

Alternacare, Inc — Billing Profile & Reimbursement Data

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Alternacare, Inc — 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