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

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

Starlight Home Care Agency, Inc (NPI 1033370317)

Field	Value
Entity Type	Organization
Organization	Starlight Home Care Agency, Inc
Address	160 Pehle Ave Ste 203
City	Saddle Brook
State	NJ
ZIP	07663
Taxonomy	Home Health Agency
NPI Enumerated	June 19, 2008

Payer Source	Total Paid
Medicaid	$207.3M
Medicare	$0

Key Findings

STARLIGHT HOME CARE AGENCY, INC reports no Medicare billing on file and $207.3M in lifetime Medicaid revenue, making its footprint effectively single‑payer Medicaid rather than a mixed Medicare/Medicaid operator. This concentration on Medicaid shapes the competitive and utilization profile you should expect to see in state-level analyses.

Revenue is highly concentrated in a small set of procedure codes: the top three Medicaid codes (T1003, T1002, S9124) together account for 89.4% of its total Medicaid revenue, with T1003 generating $91.8M (44.3%), T1002 generating $51.3M (24.8%), and S9124 generating $42.1M (20.3%). This level of concentration indicates that a few nursing-service lines drive the vast majority of the business.

The code mix (T1003 – Lpn/lvn services up to 15 minutes; T1002 – Rn services up to 15 minutes; S9124 – nursing care in the home by LPN per hour) points to a business model built on high-frequency, short-duration skilled nursing visits and in-home nursing care. The presence of both unit‑timed 15‑minute visit codes and hourly in‑home nursing codes suggests operational capacity for frequent patient contacts and a focus on direct nursing service delivery rather than broader ancillary services.

STARLIGHT’s volumes for key codes place it among the leading in-state providers: T1003 ranks #3 of 47 providers in-state (96th percentile, labeled an "extreme outlier"), T1002 ranks #2 of 41 providers in-state (98th percentile, "extreme outlier"), and S9124 ranks #4 of 30 providers in-state (90th percentile, "notably above typical"). These rank and percentile positions indicate the agency is a major statewide player for short-interval nursing services rather than a modest participant.

The operational scale is evident in claim counts and unit payments: T1003 shows 229.5K claims at $400 avg paid/claim, T1002 shows 114.4K claims at $449 avg paid/claim, and S9124 shows 101.2K claims at $416 avg paid/claim. High claim volumes combined with mid‑hundreds per‑claim reimbursement drive the multi‑million dollar revenues reported for each code and create sizable Medicaid cashflows tied to recurring nursing visits.

Secondary codes further reinforce a nursing- and private‑duty orientation: S9123 (registered nurse hourly) produced $19.1M (9.2% of Medicaid revenue) and ranks #3 of 47 providers in-state (96th percentile, "notably above typical"), while T1000 (private duty licensed up to 15 minutes) contributed $3M (1.4%) and ranks #2 of 9 providers (88th percentile, typical volume). Together these additions confirm a portfolio concentrated on both LPN and RN in‑home care and some private duty nursing activity.

The provider has a long tenure in the NPI registry (enumerated 2008-06-19, approximately 18 years), indicating an established operational history in the market. That longevity, combined with the concentrated Medicaid revenue base, suggests operational stability in delivering home nursing services across multiple years.

From a payer and competitive-monitoring perspective, the combination of extreme outlier volumes on T1003 and T1002, a top‑three concentration accounting for 89.4% of Medicaid revenue, and an otherwise negligible Medicare presence are salient flags for benchmarking and utilization review. These patterns do not imply wrongdoing but do indicate this provider’s utilization profile and reimbursement exposure are highly concentrated in a few short‑duration nursing codes and merit comparison to peer norms when evaluating network adequacy or rate setting.

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
T1003	Lpn/lvn services, up to 15 minutes	229,530	$400	$91.8M
T1002	Rn services, up to 15 minutes	114,350	$450	$51.3M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	101,220	$420	$42.1M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	40,740	$470	$19.1M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	6,580	$450	$3M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Starlight Home Care Agency, Inc — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1003	Lpn/lvn services, up to 15 minutes	3	50	19,020	$410	$15.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	4	30	3,480	$430	$9.1M
T1002	Rn services, up to 15 minutes	2	40	9,480	$460	$8.5M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	3	50	3,100	$340	$2.7M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	2	10	4,080	$470	$1.9M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Starlight Home Care Agency, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Starlight Home Care Agency, Inc	NJ	Home Health Agency	$0	$29.2M

Nearby Providers

Other providers in the same ZIP code as Starlight Home Care Agency, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alina Hirsh	NJ	Radiation Oncology Physician	$916.4K	$0
Jose Bacolod	NJ	Physical Therapist	$230.2K	$0
Abraham Lehman	NJ	Anesthesiology Physician	$199.5K	$0
Uri Adler	NJ	Physical Medicine & Rehabilitation Physician	$93.6K	$0
Mahnaz Tantawi	NJ	Internal Medicine Physician	$57K	$0

Starlight Home Care Agency, Inc — Billing Profile & Reimbursement Data

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Starlight Home Care Agency, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References