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    OpenPayerNPI Medicare & MedicaidChinese-american Planning Council Home Attendant P…
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    Chinese-american Planning Council Home Attendant Program, Inc. — Billing Profile & Reimbursement Data

    NPI 1184841926 · New York, NY · Home Health Agency

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    Chinese-american Planning Council Home Attendant Program, Inc. is a home health agency provider located in New York, New York. This profile covers 0 Medicare and 6 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
    OrganizationChinese-american Planning Council Home Attendant Program, Inc.
    Address1 York St Fl 2
    CityNew York
    StateNY
    ZIP10013
    TaxonomyHome Health Agency
    NPI EnumeratedApril 20, 2007

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

    Payer SourceTotal Paid
    Medicaid$541.6M
    Medicare$0

    Key Findings

    CHINESE-AMERICAN PLANNING COUNCIL HOME ATTENDANT PROGRAM, INC. is a home health agency with $541.6M in lifetime Medicaid revenue and no Medicare billing on file; its NPI was enumerated 2007-04-20 (~19 years ago), reflecting an established presence in New York’s home- and personal-care market. The absence of Medicare revenue indicates this entity operates effectively as a Medicaid-focused provider.

    Revenue is extremely concentrated in a small set of personal-care codes: the top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, led by T1019 ($466.8M, 2.4M claims, $198 avg paid/claim, 86.2% of total Medicaid revenue) and T1020 ($73.7M, 226.8K claims, $325 avg paid/claim, 13.6% of total Medicaid revenue), with S5125 contributing $1.2M (6.9K claims, $168 avg paid/claim, 0.2% of total). This concentration signals that the organization’s financials are overwhelmingly driven by personal care and attendant service reimbursements.

    The code mix (T1019 and T1020 as the dominant revenue sources) indicates operations centered on personal care and attendant services rather than skilled nursing or medical procedures; T1019’s per-15-minute payment pattern and T1020’s per-diem payments show the provider delivers high-volume, recurring personal care visits and full-day attendant coverage. The relative per-claim averages ($198 per 15 minutes for T1019 and $325 per diem for T1020) align with a service model focused on direct care aides and long-duration, non-skilled supports.

    This provider is effectively single-payer at scale: Medicare revenue is none while Medicaid totals $541.6M, so changes in state Medicaid policy, reimbursement rates, or eligibility could disproportionately affect the organization’s revenue. The lack of Medicare billing also suggests limited exposure to medically skilled home health case types that typically bill Medicare.

    State competitive standing is mixed by code: for T1019 the provider ranks #50 of 912 (95th percentile; typical, unremarkable volume for this code), indicating a sizable statewide presence in per-15-minute personal care but not an extreme outlier. For T1020 the provider ranks #14 of 354 (96th percentile; notably above typical state volume for this code), signaling particularly strong performance in per-diem personal care relative to peers and a competitive advantage in that subsegment.

    Smaller codes and administrative filings show negligible revenue contribution: S5125 is $1.2M (0.2% of total, ranks #23 of 61, 63rd percentile; typical, unremarkable volume), T1022 is $24.1K (82 claims, $294 avg paid/claim, 0.0% of total, ranks #292 of 334, 13th percentile), and 99080/99213 appear in claims but report $0 paid. These ancillary codes do not materially affect overall Medicaid revenue and reinforce that core personal-care codes drive the business.

    Given the extreme revenue concentration (top-3 codes = 100.0% of Medicaid revenue), the provider’s financial outlook is highly sensitive to reimbursement or policy changes affecting T1019 and T1020; any shifts in program rules, eligibility for personal care, or audit focus on these codes would likely have an outsized impact. Monitoring state rates and program-level utilization trends for personal care services is therefore especially important for payer or competitor analysis.

    The provider’s ~19-year tenure (NPI enumerated 2007-04-20) combined with very large cumulative Medicaid billing ($541.6M) suggests an operational scale and persistence in the New York personal-care market, consistent with sustained capacity to deliver high-volume attendant and personal care services over time. This longevity supports credibility as an established Medicaid personal-care vendor, but the business remains narrowly tied to Medicaid-funded personal care 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.

    6 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…2,357,410$200$466.8M
    T1020Personal 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…226,760$330$73.7M
    S5125Attendant care services; per 15 minutes6,910$170$1.2M
    T1022Contracted home health agency services, all services provided under contract, per day80$290$24.1K
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.180$0$0
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…160$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.

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

    6 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…50910108,820$150$81.8M
    T1020Personal 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…1435012,660$310$13.1M
    S5125Attendant care services; per 15 minutes23604,640$100$5.7M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…11,65119,110360$70$321K
    T1022Contracted home health agency services, all services provided under contract, per day292330470$170$231.1K
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.466880210$1$110

    Nearby Providers

    Other providers in the same ZIP code as Chinese-american Planning Council Home Attendant Program, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adj Fi Inc.NYHome Health Agency$0$165.5M
    Wengs Group Ny IncNYHome Health Agency$0$144.7M
    Chinatown True Care Medical PLLCNYInternal Medicine Physician$0$94.9M
    Healthy Care Ny IncNYHome Health Agency$0$91.2M
    Charles B. Wang Community Health Center, Inc.NYFederally Qualified Health Center (FQHC)$0$77.3M
    Lh Wellbeing Care IncNYHealth Maintenance Organization$0$76.2M
    Infinicare Inc.NYHome Health Agency$0$70.4M
    Infinicare Inc.NYHome Health Agency$0$61.9M
    Excelsior Integrated Medical Group, PLLCNYSpecialist$0$57.7M
    God's Love We Deliver, Inc.NYHome Delivered Meals$0$38.2M

    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 York Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Chinese-american Planning Council Home Attendant Program, Inc. — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York