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.

Heart To Heart Home Care, Inc. (NPI 1275657553)

Field	Value
Entity Type	Organization
Organization	Heart To Heart Home Care, Inc.
Address	395 Pearl St
City	Brooklyn
State	NY
ZIP	11201
Taxonomy	Home Health Agency
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$1.1B
Medicare	$0

Key Findings

This provider reports no Medicare billing on file (none) and $1.1B in lifetime Medicaid revenue, so its billing profile is effectively single‑payer and dominated by Medicaid at this scale. Analysts should treat Medicaid policy, rate, and contract changes as the primary drivers of revenue performance for this entity.

Revenue is highly concentrated in a single service line: the precomputed top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1019 alone representing $1.08B (97.9% of total Medicaid revenue). This degree of concentration means nearly all dollars flow through a single CPT/HCPCS line-item.

The code mix indicates a personal‑care/attendant model rather than a skilled Medicare home‑health model: T1019 (personal care services, per 15 minutes) is the dominant revenue source and suggests the organization bills primarily for time‑based personal care in community/home settings. Supporting codes T1020 (personal care per diem) and S5125 (attendant care per 15 minutes) together make up the remainder of Medicaid revenue, reinforcing that the operation is focused on hands‑on personal care and attendant services rather than skilled nursing.

T1019 shows extreme statewide dominance: 7.5M claims, $143 avg paid/claim, $1.08B revenue and ranks #5 of 912 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). By contrast, T1020 (70.4K claims, $307 avg paid/claim, $21.6M revenue) ranks #54 of 354 (85th percentile; typical, unremarkable volume) and S5125 (2.9K claims, $257 avg paid/claim, $753.3K revenue) ranks #35 of 61 (43th percentile; typical, unremarkable volume). These rankings portray the provider as a dominant statewide player for the single high‑volume personal‑care code while being a modest participant on other related codes.

Operationally, the enormous volume of T1019 claims (7.5M) combined with a $143 avg paid/claim implies a high‑frequency, per‑15‑minute billing model; the much smaller claim counts for T1020 (70.4K) and S5125 (2.9K) show the business is not materially diversified across other Medicaid service types. This utilization profile creates sensitivity to any reimbursement policy changes, rate adjustments, or audit focus specifically targeting time‑based personal care codes.

The provider has a long tenure in the NPI registry (enumerated 2007-03-19 (~19 years ago)), indicating an established local presence; that longevity combined with the extreme T1019 volume suggests entrenched operational capacity for high‑volume personal care delivery in Brooklyn, NY. Analysts evaluating market share or contracting should weigh both the provider's long standing and its single‑code revenue concentration when comparing to peers.

For competitive and contract strategy, note that while the provider is an extreme outlier on T1019 (statewide rank and percentile), its positioning on adjacent codes is unremarkable. That pattern—dominant for one narrowly defined service and conventional on related lines—suggests bargaining leverage and market prominence tied specifically to high‑volume personal care delivery rather than broad home‑health service breadth.

Medicaid: Complete Services Breakdown

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

9 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…	7,546,830	$140	$1.1B
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…	70,390	$310	$21.6M
S5125	Attendant care services; per 15 minutes	2,930	$260	$753.3K
T1022	Contracted home health agency services, all services provided under contract, per day	1,830	$180	$321.6K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	410	$210	$85.3K
T1030	Nursing care, in the home, by registered nurse, per diem	230	$90	$21K
S5130	Homemaker service, nos; per 15 minutes	140	$120	$16.4K
99082	The provider travels to facilitate patient care in a way not normally required, such as accompanying a patient in an ambulance or medical flight.	30	$60	$1.9K
S5105	Day care services, center-based; services not included in program fee, per diem	70	$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.

Claims Volume vs. New York Distribution

Heart To Heart Home Care, Inc. — 1 of 8 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

9 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…	5	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…	54	350	12,660	$310	$13.1M
S5130	Homemaker service, nos; per 15 minutes	31	40	1,150	$60	$6.6M
S5125	Attendant care services; per 15 minutes	35	60	4,640	$100	$5.7M
S5105	Day care services, center-based; services not included in program fee, per diem	394	400	30,410	$70	$3.6M
T1030	Nursing care, in the home, by registered nurse, per diem	128	210	450	$120	$728.3K
T1022	Contracted home health agency services, all services provided under contract, per day	48	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	27	170	80	$20	$68.2K
99082	The provider travels to facilitate patient care in a way not normally required, such as accompanying a patient in an ambulance or medical flight.	8	10	260	$60	$24.9K

Nearby Providers

Other providers in the same ZIP code as Heart To Heart Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance For Health	NY	Home Health Agency	$0	$436.9M
New York City Health And Hospitals Corporation	NY	Land Ambulance	$19.9M	$363.8M
City Of New York	NY	Local Education Agency (LEA)	$0	$300M
Heart To Heart Home Care, Inc.	NY	Home Health Agency	$0	$101.8M
The Brooklyn Hospital Center	NY	General Acute Care Hospital	$0	$92.7M
Planned Parenthood Of Greater New York Inc	NY	Ambulatory Family Planning Facility	$0	$78.2M
Sarah Care Usa	NY	Home Health Agency	$0	$72.8M
Community Counseling And Mediation	NY	Community/Behavioral Health Agency	$0	$42.7M
Catholic Charities Neighborhood Services, Inc.	NY	Mental Illness Community Based Residential Treatment Facility	$0	$27.8M
Catholic Charities Neighborhood Services, Inc.	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.2M

Heart To Heart Home Care, Inc. — Billing Profile & Reimbursement Data

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Heart To Heart Home 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