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.

Willcare, Inc. (NPI 1205986668)

Field	Value
Entity Type	Organization
Organization	Willcare, Inc.
Address	105 Earhart Dr Ste 120
City	Amherst
State	NY
ZIP	14221
Taxonomy	Home Health Agency
NPI Enumerated	January 10, 2007

Payer Source	Total Paid
Medicaid	$60.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	549,030	$110	$59.8M
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…	3,720	$70	$245.7K
S5130	Homemaker service, nos; per 15 minutes	3,570	$50	$192.9K
S5125	Attendant care services; per 15 minutes	1,160	$90	$104.4K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	1,070	$90	$98.3K
T1030	Nursing care, in the home, by registered nurse, per diem	460	$120	$53.6K
T1001	Nursing assessment / evaluation	210	$110	$22.9K
T1022	Contracted home health agency services, all services provided under contract, per day	70	$190	$12.6K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	130	$80	$9.4K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	10	$250	$3K

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

Willcare, Inc. — 0 of 10 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

10 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…	191	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…	238	350	12,660	$310	$13.1M
S5130	Homemaker service, nos; per 15 minutes	10	40	1,150	$60	$6.6M
S5125	Attendant care services; per 15 minutes	50	60	4,640	$100	$5.7M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	90	110	1,520	$250	$1.5M
T1030	Nursing care, in the home, by registered nurse, per diem	102	210	450	$120	$728.3K
T1001	Nursing assessment / evaluation	57	120	150	$130	$514.1K
T1022	Contracted home health agency services, all services provided under contract, per day	300	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	162	170	80	$20	$68.2K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	7	50	130	$80	$31.5K

Nearby Providers

Other providers in the same ZIP code as Willcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
America Homecare Inc	NY	In Home Supportive Care Agency	$0	$40.4M
Buffalo Emergency Associates LLP	NY	Emergency Medicine Physician	$0	$24M
Philip Niles	NY	Retina Specialist (Ophthalmology) Physician	$1.6M	$21.1K
Martin Boscarino	NY	Ophthalmology Physician	$1.5M	$27.9K
Endoscopy Center Of Western New York LLC	NY	Ambulatory Surgical Clinic/Center	$462.5K	$964K
Wehrle Drive Asc LLC	NY	Ambulatory Surgical Clinic/Center	$967.1K	$0
Christopher Jermak	NY	Ophthalmology Physician	$902.1K	$27K
Ramakrishna Ratnakaram	NY	Ophthalmology Physician	$723.2K	$12.7K
Paul Wirth	NY	MOHS-Micrographic Surgery Physician	$611.2K	$1.4K
Andrew Dunn	NY	Diagnostic Radiology Physician	$596.3K	$6.4K

Willcare, Inc. — Billing Profile & Reimbursement Data

Sign up for Willcare, Inc. — Billing Profile & Reimbursement Data policy alerts

Willcare, Inc. — Billing Profile & Reimbursement Data

Sign up for Willcare, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References