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.

Recco Home Care Service, Inc. (NPI 1124186747)

Field	Value
Entity Type	Organization
Organization	Recco Home Care Service, Inc.
Address	524 Hicksville Rd
City	Massapequa
State	NY
ZIP	11758
Taxonomy	Home Health Agency
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$267M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller at scale: lifetime Medicaid revenue is $267M and there is no Medicare billing on file. That makes its entire documented payer footprint concentrated in state Medicaid programs rather than split across Medicare/Medicaid.

Revenue is extremely concentrated in a very small set of procedure codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1019 alone representing 91.6% and T1020 representing 8.4% of Medicaid revenue. This concentration indicates most dollars come from a narrow suite of personal-care service codes.

The code mix points to a personal care/home-attendant operating model: T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem) together drive nearly all revenue, which suggests the organization primarily delivers routine personal care services under individualized plans rather than episodic skilled home health visits. The code definitions also note these are not for inpatient or facility residents and are distinct from services provided by home health aides/CNAs when those distinctions apply.

Operational volume is large and skewed toward time-based, unitized billing: the file shows 1.4M claims for T1019 with an average paid/claim of $169 and 77.8K claims for T1020 with an average paid/claim of $288. The combination of very high unit counts for T1019 and per-diem billing for T1020 implies a staffing and scheduling model built around frequent short-interval personal care visits and some daily-visit arrangements.

State-level competitive standing is modest rather than dominant: T1019 revenue ranks #80 of 912 providers in-state (91th percentile) and T1020 ranks #50 of 354 (86th percentile), with the supplied characterization in both cases as "typical, unremarkable volume." These ranks indicate the provider is a meaningful participant in New York's Medicaid personal-care market but not among the largest statewide leaders for these codes.

Two codes in the top list (99080 and 99223) show small claim counts but $0 average paid/claim and $0 revenue; 99080 ranks #814 of 878 and 99223 ranks #1179 of 1665 in-state. Those entries read as administrative or non-revenue-generating encounters in the Medicaid file and are not material to the provider's revenue base, but they may reflect occasional documentation-related submissions or cross-billing artifacts.

The provider has an established operational history: the NPI was enumerated on 2006-12-05 (~20 years ago). That tenure supports the accumulation of a large Medicaid revenue base and suggests long-running contracts/relationships with state Medicaid programs or managed long-term care plans.

Because nearly all billed revenue comes from Medicaid personal care codes (100.0% from the top three codes), the provider’s financial exposure is closely tied to Medicaid policy, rate schedules, and utilization rules for personal care services. Any material changes to Medicaid reimbursement for T1019/T1020 or enforcement of service-eligibility rules could have a large impact on this provider's revenue given the narrow payer and code concentration.

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…	1,447,040	$170	$244.5M
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…	77,820	$290	$22.4M
99080	The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.	30	$0	$0
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$0	$0

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

Recco Home Care Service, Inc. — 0 of 2 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…	80	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…	50	350	12,660	$310	$13.1M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,179	1,670	40	$90	$19.1K
99080	The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.	814	880	210	$1	$110

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ketan Laud	NY	Ophthalmology Physician	$2.7M	$926.3K
Eric Sigler	NY	Ophthalmology Physician	$3M	$580.5K
Priyadarshan Bajpayi	NY	Psychiatry Physician	$753.5K	$2M
Michael Sacher	NY	Cardiovascular Disease Physician	$886.1K	$70
Howard Sacher	NY	Cardiovascular Disease Physician	$863.5K	$0
David Goldstein	NY	Cardiovascular Disease Physician	$689.4K	$0
Stuart Horowitz	NY	Family Medicine Physician	$660.6K	$600
David Robbins	NY	Podiatrist	$454K	$134.9K
Mauro Gasparini	NY	Internal Medicine Physician	$556.3K	$4.6K
Steven Peyser	NY	Diagnostic Radiology Physician	$445.2K	$24.1K

Recco Home Care Service, Inc. — Billing Profile & Reimbursement Data

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Recco Home Care Service, 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