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.

Hearts And Hands, Inc (NPI 1992829287)

Field	Value
Entity Type	Organization
Organization	Hearts And Hands, Inc
Address	1307 W 46th Ave
City	Anchorage
State	AK
ZIP	99503
Taxonomy	Home Health Agency
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$22.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while lifetime Medicaid revenue is $22.5M, indicating Medicaid is the sole reported source of public-payer revenue for this NPI. Analysts should treat HEARTS AND HANDS, INC as a Medicaid-focused operator rather than a mixed Medicare/Medicaid provider.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three codes (S5101, S5100, T2003) account for 91.6% of the provider's total Medicaid revenue. Those top-line contributions are S5101 $11.9M (53.0%), S5100 $4.4M (19.6%), and T2003 $4.3M (19.0%), so any payment or coverage change to these codes would materially affect overall revenue.

The code mix points to an operational focus on adult day services and non‑emergency transportation rather than traditional skilled home-health services: S5101 (Day care services, adult; per half day) and S5100 (Day care services, adult; per 15 minutes) together represent $16.3M of Medicaid revenue, and T2003 (Non-emergency transportation; encounter/trip) adds $4.3M. Although the provider’s taxonomy is Home Health Agency, the dominant codes suggest the business is organized around adult day programming and high-volume transportation/waiver support.

HEARTS AND HANDS, INC is a dominant in‑state player for its top services: it ranks #1 of 10 in S5101 and #1 of 9 in S5100 (100th percentile) and #1 of 21 in T2003 (100th percentile). The state-ranking language attached to these codes characterizes S5101 and S5100 as "notably above typical state volume" and T2003 as an "extreme outlier," which together indicate market leadership in adult day and patient-transport services within Alaska.

The provider also bills for other waiver services at modest levels: T2025 generated $1.4M (6.4% of Medicaid revenue) and ranks #2 of 9 providers (88th percentile, noted as typical/unremarkable), while T2021 brought $441.3K (2.0%) and ranks #45 of 61 (27th percentile). These secondary codes show the organization participates in broader waiver and day‑habilitation lines, but at much lower scale than its core day‑care and transportation business.

Claim volume data underline the operational scale required to generate the revenue mix: S5101 records 128K claims, S5100 58.7K claims, and T2003 125.2K claims, implying large recurring service volumes and logistics capacity for daily or frequent encounters. High claim counts combined with the dollar concentration suggest the provider operates high-throughput adult day and transportation programs rather than episodic, high‑value skilled nursing visits.

The provider has an established presence: the NPI was enumerated 2007-03-19 (~19 years ago), which supports the inference of a long-tenured, operationally mature local provider now concentrated on Medicaid-funded adult day and transportation services. That tenure, together with top-in-state rankings, indicates entrenched local market positioning.

From a payer and risk-management perspective, reliance on three codes for 91.6% of Medicaid revenue represents a concentration risk: reimbursement rate changes, prior‑authorization policies, or shifts in waiver program rules affecting S5101, S5100, or T2003 could disproportionately impact the provider’s finances. Given the provider’s lack of Medicare activity, downside exposure cannot be offset by a Medicare revenue stream.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5101	Day care services, adult; per half day	128,050	$90	$11.9M
S5100	Day care services, adult; per 15 minutes	58,730	$80	$4.4M
T2003	Non-emergency transportation; encounter/trip	125,230	$30	$4.3M
T2025	Waiver services; not otherwise specified (nos)	59,930	$20	$1.4M
T2021	Day habilitation, waiver; per 15 minutes	3,840	$120	$441.3K

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

Hearts And Hands, Inc — 3 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	45	60	11,640	$150	$3.5M
S5101	Day care services, adult; per half day	1	10	11,450	$90	$3M
S5100	Day care services, adult; per 15 minutes	1	10	11,660	$60	$1.1M
T2003	Non-emergency transportation; encounter/trip	1	20	5,660	$40	$652.3K
T2025	Waiver services; not otherwise specified (nos)	2	10	16,480	$20	$630.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Home Medical, Inc.	AK	Durable Medical Equipment & Medical Supplies	$0	$32.5M
Anchorage Neighborhood Health Center, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$28.2M
Absolute Care Of Alaska, LLC.	AK	In Home Supportive Care Agency	$0	$23.4M
Alaska Hospitalist Group LLC	AK	Internal Medicine Physician	$0	$18.6M
Arctic Care Services	AK	Home Health Agency	$0	$17.7M
Turnagain Social Club	AK	Alzheimer Center (Dementia Center)	$0	$15.2M
Akeela Inc	AK	Substance Abuse Rehabilitation Facility	$0	$14.4M
Shine Bright Care, LLC	AK	In Home Supportive Care Agency	$0	$13.7M
Easter Seals Of Alaska	AK	Home Health Agency	$0	$13.6M
Wchs, Inc.	AK	Methadone Clinic	$238.5K	$13.2M

Hearts And Hands, Inc — Billing Profile & Reimbursement Data

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Hearts And Hands, 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