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    OpenPayerNPI Medicare & MedicaidAll Metro Home Care Services Of New York, Inc.
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    All Metro Home Care Services Of New York, Inc. — Billing Profile & Reimbursement Data

    NPI 1326170796 · Lynbrook, NY · Home Health Agency

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    All Metro Home Care Services Of New York, Inc. is a home health agency provider located in Lynbrook, 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAll Metro Home Care Services Of New York, Inc.
    Address50 Broadway
    CityLynbrook
    StateNY
    ZIP11563
    TaxonomyHome Health Agency
    NPI EnumeratedMarch 12, 2007

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

    Payer SourceTotal Paid
    Medicaid$505.1M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: there is no Medicare billing on file while total Medicaid revenue is $505.1M, and precomputed data show the top 3 Medicaid codes account for 100.0% of that Medicaid revenue. That concentration in one payer stream makes Medicaid policy, rate setting, and managed‑care contracting the primary commercial levers affecting this entity’s top-line.

    Revenue is highly concentrated in two personal‑care codes: T1019 generates $406.8M (80.5% of Medicaid revenue) and T1020 generates $98.1M (19.4% of Medicaid revenue), with 99199 contributing $77K (0.0%). The precomputed top‑3 share of 100.0% indicates nearly all Medicaid dollars flow through these few service lines, leaving other codes effectively immaterial to total revenue.

    The code mix (T1019 – per 15 minutes personal care, and T1020 – per diem personal care) identifies the organization primarily as a personal/home‑care operator focused on hands‑on aide services rather than medically billed home health skilled services. Ancillary codes present at low volumes (e.g., T1022, S5130, S5131, S5135) suggest supplementary homemaker/companion and contracted home health arrangements, but these are small revenue contributors compared with the two dominant personal‑care codes.

    Competitive standing on T1020 is extreme within the state: the provider ranks #6 of 354 in‑state and is at the 99th percentile, an “extreme outlier” for per‑diem personal care volume. That rank indicates this provider is a top statewide participant for per‑diem personal care and likely competes at scale for managed‑care and county/state personal‑care contracts tied to that billing modality.

    By contrast, T1019 is large but less anomalous: the provider ranks #52 of 912 in‑state (94th percentile) with a characterization of “typical, unremarkable volume.” This suggests the provider operates at a high absolute volume for per‑15‑minute personal care relative to many peers, but that volume remains within the broader state distribution and is not identified as an extreme statistical outlier.

    Other billed codes are negligible in scale relative to the two revenue drivers: 99199 produced $77K (0.0% of Medicaid revenue) and T1022 and S5130/S5131/S5135 each sit at the low‑thousands to tens of thousands of dollars. Notably, S5131 shows a rank of #1 of 2 providers in‑state (100th percentile) but only $37.4K in revenue, indicating a niche or limited offering rather than a material revenue stream.

    Tenure on file is long: the NPI was enumerated on 2007-03-12 (~19 years ago), indicating nearly two decades of presence in the market. That longevity can inform assessments of operational stability, referral relationships, and historical contract performance when benchmarking against peers.

    From a risk/opportunity and contracting perspective, the provider’s extreme reliance on T1020 and T1019 means any changes to Medicaid coverage rules, per‑diem versus per‑unit payment policy, or managed‑care enrollment could materially affect revenue. Analysts should monitor utilization trends and contract mix for T1020 in particular because its “extreme outlier” statewide standing concentrates exposure and bargaining leverage into a single service modality.

    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…2,259,910$180$406.8M
    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…331,320$300$98.1M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.230$340$77K
    T1022Contracted home health agency services, all services provided under contract, per day380$150$58.6K
    S5130Homemaker service, nos; per 15 minutes860$70$56.8K
    S5131Homemaker service, nos; per diem710$50$37.4K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes320$50$15.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…170$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…52910108,820$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…635012,660$310$13.1M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes510350$50$7.4M
    S5130Homemaker service, nos; per 15 minutes22401,150$60$6.6M
    T1022Contracted home health agency services, all services provided under contract, per day195330470$170$231.1K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.4717080$20$68.2K
    S5131Homemaker service, nos; per diem110470$100$45.5K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…3591,67040$90$19.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with All Metro Home Care Services Of New York, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    All Metro Home Care Services Of Florida, Inc.FLHome Health Agency$0$14.4M
    All Metro Home Care Services Of New Jersey, Inc.NJHome Health Agency$0$11.4M

    Nearby Providers

    Other providers in the same ZIP code as All Metro Home Care Services Of New York, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harold TiceNYDiagnostic Radiology Physician$875.7K$199.8K
    Lynbrook Sc LLCNYAmbulatory Surgical Clinic/Center$1M$0
    Alan SheinmanNYFoot Surgery Podiatrist$218.2K$0
    Marvin TankelNYDermatology Physician$215.3K$0
    Neil SoskelNYFamily Medicine Physician$168.5K$0
    Steve MermelsteinNYPulmonary Disease Physician$164.9K$2K
    Todd BraginNYOphthalmology Physician$135.2K$0
    Shahriyour AndazNYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$88.2K$0
    Keith ClementNYAdult Health Nurse Practitioner$43.7K$0

    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
    All Metro Home Care Services Of New York, Inc. — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York