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    OpenPayerNPI Medicare & MedicaidTrue Family Care Services, LLC
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    True Family Care Services, LLC — Billing Profile & Reimbursement Data

    NPI 1205378379 · Brooklyn, NY · Home Health Agency

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    True Family Care Services, LLC is a home health agency provider located in Brooklyn, New York. This profile covers 0 Medicare and 4 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
    OrganizationTrue Family Care Services, LLC
    Address117 Church Ave
    CityBrooklyn
    StateNY
    ZIP11218
    TaxonomyHome Health Agency
    NPI EnumeratedNovember 7, 2016

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

    Payer SourceTotal Paid
    Medicaid$412.4M
    Medicare$0

    Key Findings

    TRUE FAMILY CARE SERVICES, LLC is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $412.4M in lifetime Medicaid revenue. The NPI enumeration date is 2016-11-07 (~10 years ago), indicating roughly a decade of enrollment during which the organization has concentrated activity in state Medicaid programs.

    Revenue at this provider is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of its total Medicaid revenue. That extreme concentration indicates that nearly all Medicaid reimbursement flows through a very small set of personal-care and contracted home-health service codes rather than a more diversified service mix.

    T1019 is the dominant service line by a large margin: 2.9M claims, $137 avg paid/claim, $397.7M revenue (96.5% of this provider's total Medicaid revenue). The code description (personal care services, per 15 minutes) and the per-claim payment profile indicate the operation is primarily delivering minute-based personal care services to Medicaid beneficiaries rather than medically complex home-health skilled nursing.

    Secondary service lines are much smaller but present: T1020 (per diem personal care) shows 43.3K claims, $316 avg paid/claim, $13.7M revenue (3.3% of Medicaid revenue), and T1022 (contracted home health agency services) shows 5.3K claims, $159 avg paid/claim, $838.2K revenue (0.2% of Medicaid revenue). Together these codes suggest the provider supplements its minute-based personal care model with a modest volume of per-diem and contracted agency arrangements.

    Competitive standing is mixed by code: for T1019 the provider ranks #40 of 912 providers in-state (96th percentile) but the data labels this as "typical, unremarkable volume" for that code. This means the provider is among the higher-volume state participants for minute-based personal care services, yet the activity level is not flagged as an atypical statistical outlier in the reporting framework.

    For the smaller codes, the provider ranks #95 of 354 for T1020 (73th percentile; labeled "typical, unremarkable volume") and #12 of 334 for T1022 (97th percentile; labeled "typical, unremarkable volume"). The T1022 ranking positions the provider near the top of in-state billers for contracted HHA-day arrangements, even though that code contributes only 0.2% of its Medicaid revenue.

    The extreme reliance on a single code (T1019 at 96.5% of Medicaid revenue) creates operational and reimbursement concentration risk: payers evaluating network exposure or audit focus will note that changes to authorization, rate-setting, or documentation rules for T1019 could materially affect this provider's revenue. From a utilization-management perspective, the mix points to an organization structured around high-volume, minute-based personal care delivery rather than a diversified clinical home-health portfolio.

    Other billed items are negligible: 99199 appears with 434 claims, $228 avg paid/claim, $99K revenue (0.0% of Medicaid revenue) and functions as a catch-all for services without a specific code. Its presence is minor and does not materially change the provider's overwhelmingly personal-care–centric revenue profile.

    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.

    4 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…2,903,150$140$397.7M
    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…43,330$320$13.7M
    T1022Contracted home health agency services, all services provided under contract, per day5,270$160$838.2K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.430$230$99K

    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

    4 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…40910108,820$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…9535012,660$310$13.1M
    T1022Contracted home health agency services, all services provided under contract, per day12330470$170$231.1K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.2417080$20$68.2K

    Nearby Providers

    Other providers in the same ZIP code as True Family Care Services, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nae Edison LLCNYHome Health Agency$0$1.1B
    Astra Home CareNYHome Health Agency$0$608.7M
    Tradition ChoiceNYHome Health Agency$0$207.9M
    Asc Of New York, LLCNYHome Health Agency$0$111M
    Great Direct Care, Inc.NYHome Health Agency$0$109M
    Advanced Home Care Services, Inc.NYHome Health Agency$0$99.3M
    New Solution Home Care IncNYClinic/Center$0$83.9M
    Nurturing Direct Homecare, IncNYHome Health Agency$0$82.1M
    Yeled V'yalda Early Childhood Center Inc.NYEarly Intervention Provider Agency$0$70M
    Nae Edison LLCNYHome Health Agency$0$64.9M

    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
    True Family Care Services, LLC — 2 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York