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    OpenPayerNPI Medicare & MedicaidBroadway Respite And Home Care, LLC
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    Broadway Respite And Home Care, LLC — Billing Profile & Reimbursement Data

    NPI 1144420670 · Fair Lawn, NJ · Home Health Agency

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    Broadway Respite And Home Care, LLC is a home health agency provider located in Fair Lawn, New Jersey. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBroadway Respite And Home Care, LLC
    Address2420 Broadway
    CityFair Lawn
    StateNJ
    ZIP07410
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 23, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$158.5M
    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 $158.5M, indicating the organization’s entire recorded public-payor footprint is driven by state Medicaid business rather than Medicare. The absence of Medicare activity suggests services and contracts are focused on Medicaid-covered personal care and attendant programs rather than fee-for-service Medicare home health lines.

    Revenue is extremely concentrated in a single code family: the precomputed top three Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with T1019 alone representing $158.2M (99.8% of total Medicaid revenue). This degree of concentration implies that the provider’s financial performance and utilization are highly dependent on reimbursement and authorization patterns for that one service line.

    The provider’s primary service line is labor-intensive personal care rather than skilled home health: the top revenue driver, T1019, is described as personal care services billed per 15 minutes. The volume and revenue mix (1.9M claims and $158.2M revenue for T1019 at $85 avg paid/claim) point to a high-volume, hands-on attendant/aide model rather than episodic, medically skilled visits.

    T1019 activity demonstrates a major statewide presence for that service: 1.9M claims, $85 avg paid/claim, $158.2M revenue and a rank of #5 of 276 providers in-state (99th percentile; notably above typical state volume for this code) indicate the provider is among the largest in New Jersey for Medicaid personal care, implying substantial staffing, scheduling, and administrative capacity to manage high-claim volumes.

    The two secondary codes generate negligible revenue relative to T1019 and appear operationally supplemental: S5125 (15K claims, $18 avg paid/claim, $270.3K revenue, 0.2% of total) ranks #3 of 7 providers in-state (67th percentile; typical, unremarkable volume for this code), while T1001 (737 claims, $37 avg paid/claim, $27.3K revenue, 0.0% of total) ranks #19 of 63 providers in-state (71th percentile; typical, unremarkable volume for this code). These figures suggest attendant care and nursing assessment are offered but are small components of overall cash flow.

    Competitive standing is concentrated by code: for the dominant personal care code T1019 the provider ranks as a top-tier in-state player (99th percentile, #5 of 276), whereas its positions on S5125 and T1001 are unremarkable relative to peers. Because there is no Medicare billing to benchmark nationally, competitive characterization is limited to the state Medicaid landscape where the provider is clearly a major participant for T1019.

    The provider has long tenure on file, enumerated as NPI 2007-07-23 (~19 years ago), which combined with large, recurring Medicaid volume suggests an established operational footprint in the state Medicaid personal care market. That longevity plus the 100.0% Medicaid revenue concentration highlights both operational scale in a narrow service mix and potential sensitivity to state policy, rate, or utilization changes affecting T1019 reimbursements.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…1,860,750$90$158.2M
    S5125Attendant care services; per 15 minutes15,010$20$270.3K
    T1001Nursing assessment / evaluation740$40$27.3K

    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.

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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…528031,400$90$15.4M
    S5125Attendant care services; per 15 minutes3104,020$50$988.6K
    T1001Nursing assessment / evaluation1960180$40$31.6K

    Nearby Providers

    Other providers in the same ZIP code as Broadway Respite And Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Broadway Respite And Home Care, LLCNJChild Intellectual and/or Developmental Disabilities Respite Care$0$56.5M
    Stay Well Services, Inc.NJHome Health Agency$0$42.6M
    Broadway Adult Medical Day Care IncNJAdult Day Care Clinic/Center$0$39.7M
    New Jersey Adult Medical Day Care, Inc.NJAdult Day Care Clinic/Center$0$17.7M
    Nyrie AustinNJFamily Nurse Practitioner$15.9M$8.8K
    Care Plus Nj, IncNJCommunity/Behavioral Health Agency$0$13.5M
    Children's Ambulatory Surgery Center Of New Jersey, LLCNJAmbulatory Surgical Clinic/Center$0$12.4M
    Chemisys Laboratories, LLCNJClinical Medical Laboratory$750.5K$10.5M
    Bergen-passaic Cataract Laser And Surgery Center, LLCNJOphthalmologic Surgery Clinic/Center$3.2M$1.1M
    A & M Medical Services LLCNJLand Ambulance$3.2M$925.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Jersey Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Broadway Respite And Home Care, LLC — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey