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

Why is the Medicaid comparison limited to New York 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. New York (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.

S & A Unified Home Care, Inc. (NPI 1013377431)

Field	Value
Entity Type	Organization
Organization	S & A Unified Home Care, Inc.
Address	2036 Mcdonald Ave
City	Brooklyn
State	NY
ZIP	11223
Taxonomy	Home Health Agency
NPI Enumerated	February 26, 2016

Payer Source	Total Paid
Medicaid	$459.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: there is no Medicare billing on file and lifetime Medicaid revenue is $459.9M, so all observed publicly billed activity is driven by Medicaid programs rather than Medicare. The absence of Medicare revenue suggests payer mix and risk exposure are concentrated on state Medicaid reimbursement and related contracts.

Revenue is extremely concentrated in a narrow set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with T1019 alone generating $450.8M (98.0% of Medicaid revenue). The remaining top codes are T1020 ($8.1M, 1.8%) and T1022 ($820.2K, 0.2%), indicating that virtually all dollars flow through time- and per-diem personal care categories.

The code mix identifies the business as a large personal care/service-line operation rather than a traditional skilled home-health agency: T1019 is Personal care services per 15 minutes and dominates revenue, while T1020 (per diem personal care) and T1022 (contracted home health agency services, per day) together make up the remaining, much smaller share. These codes suggest the provider primarily bills for time-based personal care under individualized plans rather than episode-based skilled nursing or therapy services.

Operational scale is substantial on transactional volume: T1019 shows 3M claims at an average paid of $149/claim, which is consistent with a high-volume, low-dollar-per-claim business model; T1020 has 26.6K claims at $305 avg paid/claim and T1022 has 3.7K claims at $223 avg paid/claim. The claim counts reinforce that revenue is driven by frequent, short-interval personal care encounters rather than fewer, high-dollar episodes of care.

Competitive standing by in-state rank is mixed but notable: T1019 ranks #37 of 912 providers (96th percentile), T1022 ranks #17 of 334 (95th percentile), while T1020 ranks #139 of 354 (61th percentile) and 99199 ranks #22 of 167 (87th percentile). Despite the high rank for T1019 and T1022, the available label for each code classifies this provider's volumes as "typical, unremarkable volume for this code," indicating that high absolute volume does not translate into an outlier classification in the reference distribution.

Tenure and registry history are established but not decades-long: the NPI was enumerated on 2016-02-26 (~10 years ago), which indicates roughly a decade of enrollment and time to scale operations to the current Medicaid revenue level. This tenure is sufficient to have operationalized high-volume personal care billing practices reflected in the claims mix.

From a business risk and strategic perspective, the combination of single-payer dependence and extreme revenue concentration in T1019 (98.0%) creates vulnerability to Medicaid policy, rate, or prior-authorization changes that affect personal care per-15-minute billing. Conversely, the dominant position in that code (high rank and very large claim volume) could present negotiating leverage with managed Medicaid plans or in contracting, but any strategic assessment should account for the provider's limited diversification across codes and payers.

Statistical-review flags are muted in the available descriptors: each of the provider's principal codes is labeled as "typical, unremarkable volume for this code" despite high absolute dollars and ranks, so the dataset does not classify these volumes as anomalous within the in-state distributions. Analysts should therefore interpret the concentration and scale as operational characteristics rather than automatically as statistical outliers according to the supplied labels.

Medicaid: Complete Services Breakdown

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

4 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…	3,025,710	$150	$450.8M
T1020	Personal care services, per diem, 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…	26,580	$310	$8.1M
T1022	Contracted home health agency services, all services provided under contract, per day	3,680	$220	$820.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	470	$290	$134.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

S & A Unified Home Care, Inc. — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	37	910	108,820	$150	$81.8M
T1020	Personal care services, per diem, 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…	139	350	12,660	$310	$13.1M
T1022	Contracted home health agency services, all services provided under contract, per day	17	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	22	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as S & A Unified Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Special Touch Home Care Services, Inc.	NY	Home Health Agency	$0	$747.3M
Elite Choice LLC	NY	Home Health Agency	$0	$363.1M
Paramount Home Care Agency, Inc	NY	Home Health Agency	$0	$297.9M
Magic Home Care, LLC	NY	Home Health Agency	$0	$293.4M
Elite Hhc LLC	NY	Home Health Agency	$0	$213.3M
Hsm Personal Care Corp	NY	In Home Supportive Care Agency	$0	$136.5M
Arvut Home Care Inc	NY	Home Health Agency	$0	$116.1M
Silver Lining Homecare Agency, Inc.	NY	Home Health Agency	$0	$104.2M
Quality Touch, Inc.	NY	Case Management Agency	$0	$67.5M
Lifeline Ambulance Service Inc	NY	Land Ambulance	$5.4M	$42.5M

S & A Unified Home Care, Inc. — Billing Profile & Reimbursement Data

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S & A Unified Home Care, 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