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.

X-treme Care, LLC (NPI 1174793996)

Field	Value
Entity Type	Organization
Organization	X-treme Care, LLC
Address	212-12 Norther Blvd
City	Bay Side
State	NY
ZIP	11361
Taxonomy	Home Health Agency
NPI Enumerated	March 7, 2008

Payer Source	Total Paid
Medicaid	$252.5M
Medicare	$0

Key Findings

X-TREME CARE, LLC has no Medicare billing on file and is effectively a single-payer Medicaid operator: total Medicaid revenue on file is $252.5M with no recorded Medicare revenue. This makes Medicaid the de facto sole source of reported program revenue for the entity.

Revenue for this provider is extremely concentrated: the precomputed top 3 Medicaid codes account for 99.8% of the provider's total Medicaid revenue, and a single code, T1019, accounts for $251.5M or 99.6% of the provider's Medicaid revenue. That concentration indicates almost all reported Medicaid payments flow through a very narrow set of service codes.

The code mix points to a business model focused on long-term personal and attendant care in community settings rather than skilled home health services: T1019 (personal care services, per 15 minutes) is the dominant revenue driver, supported at much smaller scale by S5125 (attendant care, per 15 minutes) and T1020 (personal care, per diem). These codes and their descriptions are consistent with high-volume, per-15-minute personal care delivery tied to individualized plans of treatment.

Despite the extreme revenue concentration in T1019, the provider’s state-level standing on that code is substantial: T1019 ranks #70 of 912 providers in-state (92th percentile), which places X-TREME CARE among the higher-volume in-state billers for this code. The reference metadata characterizes the provider’s T1019 volume as "typical, unremarkable volume for this code," so its high absolute revenue is driven by the code’s billing magnitude rather than an unusual billing pattern label.

Other Medicaid codes are immaterial to overall revenue and show modest competitive positions: S5125 generated $270.8K (0.1% of Medicaid revenue) and ranks #37 of 61 in-state (40th percentile), while T1020 generated $256.9K (0.1% of Medicaid revenue) and ranks #259 of 354 in-state (27th percentile); both are described as "typical, unremarkable volume for this code." These positions indicate limited diversification beyond the primary personal-care code.

X-TREME CARE’s NPI was enumerated on 2008-03-07 (~18 years ago), indicating a long-tenured presence in the market. Combined with $252.5M in Medicaid receipts, the tenure and scale suggest established, ongoing participation in state Medicaid personal-care programs.

From an operational and payer-management perspective, the provider’s near-total dependence on T1019 and the top-3 codes (99.8% of Medicaid revenue) implies that reimbursement policy changes, edits to eligibility for T1019, or rate adjustments by the state could have outsized effects on its revenue base. The limited revenue contribution from other home-care codes means there are few internal offsets if Medicaid payment for T1019 were to change.

Medicaid: Complete Services Breakdown

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

9 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…	1,699,290	$150	$251.5M
S5125	Attendant care services; per 15 minutes	2,530	$110	$270.8K
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…	2,400	$110	$256.9K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	1,830	$120	$217.5K
T1030	Nursing care, in the home, by registered nurse, per diem	1,550	$80	$123.8K
S9131	Physical therapy; in the home, per diem	1,400	$90	$118.7K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	180	$90	$15K
T1001	Nursing assessment / evaluation	80	$110	$8.6K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	190	$50	$8.5K

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

X-treme Care, LLC — 0 of 9 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

9 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…	70	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…	259	350	12,660	$310	$13.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	6	10	350	$50	$7.4M
S5125	Attendant care services; per 15 minutes	37	60	4,640	$100	$5.7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	18	50	930	$160	$1.4M
S9131	Physical therapy; in the home, per diem	57	90	2,630	$100	$1.1M
T1030	Nursing care, in the home, by registered nurse, per diem	70	210	450	$120	$728.3K
T1001	Nursing assessment / evaluation	74	120	150	$130	$514.1K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	390	790	170	$70	$55.2K

Nearby Providers

Other providers in the same ZIP code as X-treme Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
X-treme Home Care, Inc.	NY	Voluntary or Charitable Agency	$0	$534.5M
Abj Home Care Inc.	NY	Home Health Agency	$0	$45.5M
Bayside Laboratories	NY	Clinical Medical Laboratory	$224.1K	$4.7M
Nyeeqasc,llc	NY	Ambulatory Surgical Clinic/Center	$750.6K	$2M
Triantafillos Fillos	NY	Hematology & Oncology Physician	$888.1K	$563.8K
Nodar Janas	NY	Family Medicine Physician	$1.2M	$82.7K
Omid Kohani	NY	Cardiovascular Disease Physician	$606.7K	$438.3K
William Duke	NY	Geriatric Medicine (Internal Medicine) Physician	$649.6K	$129.9K
Adrianne Mellos	NY	Cardiovascular Disease Physician	$375.7K	$213.9K
Robert Mittman	NY	Allergy & Immunology Physician	$330.6K	$229.1K

X-treme Care, LLC — Billing Profile & Reimbursement Data

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X-treme Care, LLC — 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