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.

New York Health Care Inc (NPI 1215934005)

Field	Value
Entity Type	Organization
Organization	New York Health Care Inc
Address	33 W Hawthorne Ave Ste 31
City	Valley Stream
State	NY
ZIP	11580
Taxonomy	Home Health Agency
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$375.4M
Medicare	$0

Key Findings

NEW YORK HEALTH CARE INC is effectively a single‑payer Medicaid provider: it reports $375.4M in lifetime Medicaid revenue and has no Medicare billing on file. Its NPI was enumerated on 2005-07-07 (~21 years ago), indicating long tenure in the market.

Revenue is extremely concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 99.9% of this provider's total Medicaid revenue. In particular, T1019 drives $327.1M (87.1% of Medicaid revenue) and T1020 drives $47.8M (12.7% of Medicaid revenue), leaving all other codes as a negligible share of the $375.4M total.

The code mix indicates the operation is primarily a personal care/home‑based services agency, not a Medicare home health provider. T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem) together dominate revenue, which is consistent with a business model focused on ongoing personal care and attendant services delivered under individualized plans of treatment.

Competitive standing for T1019 is high by volume: the provider ranks #59 of 912 in-state (94th percentile) for T1019 while the dataset labels this as "typical, unremarkable volume for this code." That placement nonetheless positions the provider among the larger in-state billers for 15‑minute personal care units, given the rank and the $327.1M revenue tied to this code.

For T1020, the provider ranks #27 of 354 in-state (93th percentile) and the precomputed note marks this as "notably above typical state volume for this code." This rank and the $47.8M revenue for per‑diem personal care suggest the organization is an above‑typical state participant in daily personal care arrangements.

Other billed codes are immaterial relative to the two revenue drivers: T1022 accounts for $172.1K (0.0% of total), S9124 $153.3K (0.0%), 99199 $114.8K (0.0%), T1030 $77K (0.0%), and T1000 $3.5K (0.0%). These small amounts and middling in‑state ranks (for example T1022 ranks #100 of 334, 70th percentile) indicate limited service‑line diversification beyond core personal care offerings.

Because nearly all Medicaid revenue is tied to a pair of personal‑care codes (T1019 and T1020), the provider’s financial exposure and growth prospects are highly sensitive to Medicaid reimbursement changes or utilization shifts for those codes. Any policy, authorization, or rate adjustments that affect T1019/T1020 utilization or payment would likely have an outsized impact on this $375.4M Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

7 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…	1,946,850	$170	$327.1M
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…	161,560	$300	$47.8M
T1022	Contracted home health agency services, all services provided under contract, per day	870	$200	$172.1K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	610	$250	$153.3K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	300	$380	$114.8K
T1030	Nursing care, in the home, by registered nurse, per diem	800	$100	$77K
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	60	$60	$3.5K

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

New York Health Care Inc — 0 of 7 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

7 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…	59	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…	27	350	12,660	$310	$13.1M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	31	50	1,510	$630	$9M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	4	10	1,070	$630	$762.2K
T1030	Nursing care, in the home, by registered nurse, per diem	88	210	450	$120	$728.3K
T1022	Contracted home health agency services, all services provided under contract, per day	100	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	38	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as New York Health Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fred Fefer	NY	Cardiovascular Disease Physician	$318.1K	$1.1M
Steve Sharon	NY	Diagnostic Radiology Physician	$509.2K	$2.7K
Daniel Levy	NY	Cardiovascular Disease Physician	$248K	$70
Ian Ausubel	NY	Internal Medicine Physician	$212.6K	$10.9K
Barry Dorf	NY	Gastroenterology Physician	$171K	$0
Robert Sperber	NY	Diagnostic Radiology Physician	$73.6K	$42.2K
Paragas Corp	NY	Mobile Radiology Clinic/Center	$16.9K	$77.8K
Olga Liberman	NY	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$77.6K	$0
Shashi Shah	NY	Urology Physician	$67.6K	$0
Paul Dumitrescu	NY	Anesthesiology Physician	$56.9K	$0

New York Health Care Inc — Billing Profile & Reimbursement Data

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New York Health Care Inc — 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