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    OpenPayerNPI Medicare & MedicaidElite Choice LLC
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    Elite Choice LLC — Billing Profile & Reimbursement Data

    NPI 1336560390 · Brooklyn, NY · Home Health Agency

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    Elite Choice LLC is a home health agency provider located in Brooklyn, New York. This profile covers 0 Medicare and 4 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
    OrganizationElite Choice LLC
    Address1967 Mcdonald Ave
    CityBrooklyn
    StateNY
    ZIP11223
    TaxonomyHome Health Agency
    NPI EnumeratedDecember 18, 2013

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

    Payer SourceTotal Paid
    Medicaid$363.1M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer in the available claims data: there is no Medicare billing on file while lifetime Medicaid revenue is $363.1M. The absence of Medicare activity combined with large Medicaid volume indicates ELITE CHOICE LLC operates predominantly within state Medicaid programs rather than the Medicare home‑health/skilled market.

    Medicaid revenue is extremely concentrated: the precomputed top‑3 Medicaid codes account for 99.9% of the provider's total Medicaid revenue, with a single code, T1019, generating $349.6M (96.3% of Medicaid revenue). That concentration means the provider’s financial performance and utilization profile are driven almost entirely by a single service line tied to personal care time‑based billing rather than a diversified set of Medicaid procedures.

    The code mix (T1019, T1020, T1022) indicates a business model focused on personal care and contract‑based home health services rather than skilled, medically‑driven home health commonly billed to Medicare. T1019 (personal care services, per 15 minutes) dominates by claims volume (2.4M claims) and average payment ($145 avg paid/claim), while T1020 (personal care services, per diem) and T1022 (contracted home health agency services, per day) supplement that core personal care offering.

    Despite T1019's dominant revenue share, the dataset classifies the provider’s T1019 activity as a 'typical, unremarkable volume for this code'; the provider ranks #49 of 912 in‑state (95th percentile) for T1019. In other words, ELITE CHOICE LLC is a high‑volume participant for T1019 by rank and revenue share, but this pattern aligns with common state‑level operating models rather than describing an unusual statistical outlier in coding behavior.

    Other Medicaid codes show a modest to meaningful in‑state presence but represent a small share of revenue: T1020 produced $13M (3.6% of Medicaid revenue) with 42.9K claims and ranks #97 of 354 (73th percentile, typical, unremarkable volume), while T1022 produced $288.5K (0.1%) with 1.8K claims and ranks #49 of 334 (86th percentile, typical, unremarkable volume). The ancillary code 99199 generated $198.3K (0.1%) on 844 claims and ranks #14 of 167 (92th percentile, typical, unremarkable volume), showing that miscellaneous medicine services are present but immaterial to total revenue.

    Given the provider's NPI enumeration date of 2013-12-18 (~13 years ago) and cumulative Medicaid revenue of $363.1M, ELITE CHOICE LLC appears to be an established Medicaid service supplier with sustained scale in the state market. Longevity plus concentrated Medicaid earnings suggests operational specialization in state personal‑care programs rather than recent market entry or diversification.

    From a payer oversight and contracting perspective, the provider’s reliance on time‑ and plan‑based personal care codes (T1019 and T1020) means utilization and payment exposure are concentrated in per‑minute and per‑diem personal care authorizations and care‑plan management. Because the top codes drive virtually all Medicaid revenue (99.9% for the top three), changes in policy, authorization practice, or documentation requirements for those specific codes would likely have an outsized impact on the provider’s revenue and contracting risk profile.

    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.

    4 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…2,410,710$150$349.6M
    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…42,890$300$13M
    T1022Contracted home health agency services, all services provided under contract, per day1,830$160$288.5K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.840$240$198.3K

    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.

    Full comparison — all codes billed, vs. New York median

    4 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…49910108,820$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…9735012,660$310$13.1M
    T1022Contracted home health agency services, all services provided under contract, per day49330470$170$231.1K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.1417080$20$68.2K

    Nearby Providers

    Other providers in the same ZIP code as Elite Choice LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Special Touch Home Care Services, Inc.NYHome Health Agency$0$747.3M
    S & A Unified Home Care, Inc.NYHome Health Agency$0$459.9M
    Paramount Home Care Agency, IncNYHome Health Agency$0$297.9M
    Magic Home Care, LLCNYHome Health Agency$0$293.4M
    Elite Hhc LLCNYHome Health Agency$0$213.3M
    Hsm Personal Care CorpNYIn Home Supportive Care Agency$0$136.5M
    Arvut Home Care IncNYHome Health Agency$0$116.1M
    Silver Lining Homecare Agency, Inc.NYHome Health Agency$0$104.2M
    Quality Touch, Inc.NYCase Management Agency$0$67.5M
    Lifeline Ambulance Service IncNYLand Ambulance$5.4M$42.5M

    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
    Elite Choice LLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York