Community Health Aide Services, Inc. — Billing Profile & Reimbursement Data

COMMUNITY HEALTH AIDE SERVICES, INC. is effectively a single-payer Medicaid provider: it has no Medicare billing on file and all reported lifetime revenue is Medicaid-based at $668.3M, indicating its operations and revenue exposure are concentrated in state Medicaid programs rather than Medicare.

Revenue is extremely concentrated in a very small set of codes: the top three Medicaid codes together account for 99.7% of this provider's total Medicaid revenue, with T1019 alone representing $567.6M (84.9% of Medicaid revenue) and T1020 contributing $97.7M (14.6%). This concentration implies the organization’s business model is overwhelmingly centered on a narrow set of personal care and attendant-care service lines.

The dominant code, T1019 (personal care services per 15 minutes), accounts for the majority of revenue ($567.6M) and the provider ranks #27 of 912 in-state (97th percentile), which signals very high state-level volume for that specific per-15-minute personal care service relative to peers. Such a profile suggests operational capacity and billing focus on high-frequency, time-based personal care delivery.

T1020 (personal care services, per diem) is also a major revenue driver at $97.7M and the provider ranks #7 of 354 in-state (98th percentile), labeled an extreme outlier; this reinforces that the agency is a top statewide supplier of per-diem personal care services and likely manages many daily-support cases billed on a per-diem basis.

Other Medicaid codes appear only modestly used: S5126, T1022, G0162 and the remaining listed codes together account for trivial shares of total revenue (each reported as 0.2% or 0.1% or 0.0%), and ranks for these codes range from typical to, in one case, an extreme outlier (G0162 at rank #1 of 54, 100th percentile). This pattern indicates the provider’s skilled nursing and ancillary service billing exists but is very small compared with its personal care volumes.

From a competitive-standing perspective within New York Medicaid, COMMUNITY HEALTH AIDE SERVICES is a major player for personal care services: its top-code ranks (97th–98th percentiles and one extreme outlier) place it well above typical state volume and mark it as a high-capacity local provider for those benefit categories. However, outside those narrow codes, it is not broadly dominant across the wider set of allied home-health and attendant-care codes.

The provider’s NPI was enumerated in 2013-06-26 (~13 years ago), indicating over a decade of active enrollment; this tenure supports the likelihood that the concentrated billing profile reflects a sustained service model rather than a short-term or transient billing pattern.