Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidFriends And Family Home Care Services
    Ask Trek AI about this page

    Friends And Family Home Care Services — Billing Profile & Reimbursement Data

    NPI 1265926687 · New York, NY · In Home Supportive Care Agency

    Customize your policy alerts

    Sign up for Friends And Family Home Care Services — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Friends And Family Home Care Services is a in home supportive care agency provider located in New York, New York. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFriends And Family Home Care Services
    Address2414 Amsterdam Ave
    CityNew York
    StateNY
    ZIP10033
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedJune 19, 2018

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

    Payer SourceTotal Paid
    Medicaid$681.8M
    Medicare$0

    Key Findings

    This provider is effectively single-payer Medicaid: there is no Medicare billing on file and lifetime Medicaid revenue is $681.8M, indicating operations are almost entirely Medicaid-focused rather than split across Medicare and Medicaid. The absence of Medicare activity should shape analytic comparators and network impact assumptions for payer/provider strategy work.

    Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1019 alone representing $665.7M and 97.6% of the Medicaid total. That level of concentration means financial performance and utilization trends will be highly sensitive to policy or reimbursement changes affecting T1019.

    The code mix signals a service model built around high-volume personal care rather than skilled clinical home health. The dominant code T1019 (personal care services, per 15 minutes) and the secondary per-diem personal care code T1020 together account for essentially all revenue, while skilled-nursing and assessment codes (T1030, T1001, G0162) show negligible revenue, suggesting limited provision or billing of skilled nursing services.

    T1019 usage is an outlier in-state: with 4.9M claims and a rank of #16 of 912 providers (98th percentile) it is described as notably above typical state volume for this code, positioning the provider as a major statewide player for minute-based personal care. That high rank on T1019 reflects market scale and operational capacity in personal care delivery compared with in-state peers.

    T1020 and T1022 are present but materially smaller revenue contributors: T1020 shows 48K claims and $15.7M revenue (2.3% of Medicaid revenue) and ranks #86 of 354 providers (76th percentile), while T1022 has 2.1K claims and $335.8K revenue (0.0% of Medicaid revenue) and ranks #43 of 334 providers (87th percentile). Both are described as typical or unremarkable statewide volumes, indicating the provider’s dominant footprint is narrowly focused on T1019 rather than a broad mix of home health per-diem services.

    Average paid-per-claim patterns underline operational differences between minute-based and per-diem billing: T1019 averages $136 paid/claim across 4.9M claims, while T1020 averages $327 paid/claim across 48K claims. The combination of very high claim volume for T1019 and a lower avg paid/claim implies the provider’s model likely depends on large direct-care headcount and claims processing scale to generate its Medicaid revenue.

    Limited revenue in ancillary or miscellaneous codes reinforces the narrow service profile: codes such as 99199 (82 claims, $15.7K) and 99080 (250 claims, $0) contribute immaterially to total revenue, which suggests administrative or non-standard service billing is not a major revenue stream for this entity. Analysts should therefore prioritize personal care code utilization and provider-level authorization/authorization-mix when modeling future revenue scenarios.

    The provider’s NPI was enumerated on 2018-06-19 (~8 years ago), and during that tenure it has amassed $681.8M in Medicaid billing, driven overwhelmingly by T1019. This combination of relatively recent enumeration and rapid concentration of Medicaid revenue into a single code highlights both the provider’s rapid operational scaling in personal care and the potential vulnerability to single-code reimbursement or policy shifts.

    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.

    8 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…4,894,650$140$665.7M
    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…48,050$330$15.7M
    T1022Contracted home health agency services, all services provided under contract, per day2,070$160$335.8K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.80$190$15.7K
    T1030Nursing care, in the home, by registered nurse, per diem1,840$10$12.9K
    T1001Nursing assessment / evaluation140$40$5K
    G0162Skilled 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…40$70$2.9K
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.250$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

    8 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…16910108,820$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…8635012,660$310$13.1M
    T1030Nursing care, in the home, by registered nurse, per diem63210450$120$728.3K
    T1001Nursing assessment / evaluation61120150$130$514.1K
    T1022Contracted home health agency services, all services provided under contract, per day43330470$170$231.1K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.8217080$20$68.2K
    G0162Skilled 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…3950130$80$31.5K
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.406880210$1$110

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Care Finders LLCNYHome Health Agency$0$262.3M
    Eva LebronNYGeneral Practice Dentistry$543.4K$570.3K
    Daniel BeydaNYDiagnostic Radiology Physician$283.6K$61.5K
    Jacob WhiteNYVascular & Interventional Radiology Physician$229.9K$4.8K
    Matthias SzabolcsNYAnatomic Pathology Physician$223.9K$0
    Dan GeislerNYAnesthesiology Physician$59K$8.3K
    Alberto Comas EspinalNYGeneral Practice Physician$18.7K$4.9K

    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
    Friends And Family Home Care Services — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York