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.

Marks Homecare Agency Inc (NPI 1376097303)

Field	Value
Entity Type	Organization
Organization	Marks Homecare Agency Inc
Address	4004 Junction Blvd
City	Corona
State	NY
ZIP	11368
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	August 8, 2016

Payer Source	Total Paid
Medicaid	$1.1B
Medicare	$0

Key Findings

MARKS HOMECARE AGENCY INC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $1.08B in total Medicaid revenue, indicating the organization’s scale and revenue is almost entirely derived from Medicaid rather than Medicare. This concentration in one payer should orient competitive and reimbursement analysis toward Medicaid policy and rate changes in NY.

The provider’s Medicaid revenue is extremely concentrated in a small set of service codes: the precomputed top three Medicaid codes account for 100.0% of its total Medicaid revenue, with T1019 alone responsible for $1.07B (98.7% of the provider’s Medicaid revenue). That concentration signals the business is overwhelmingly driven by a single service type rather than a diversified portfolio of billable procedures.

T1019 (personal care services, per 15 minutes) is the dominant operational driver: 6.6M claims at $161 avg paid/claim produced $1.07B in revenue and the provider ranks #7 of 912 in-state (99th percentile; extreme outlier). This profile indicates a very large, minute-based personal care operation and positions MARKS HOMECARE as a state-level outlier in delivering high-volume time-based personal care.

Supporting but much smaller revenue streams include T1020 (personal care services, per diem) and T1022 (contracted home health agency services, per day). T1020 shows 33K claims at $357 avg paid/claim for $11.8M (1.1% of Medicaid revenue) and ranks #121 of 354 (66th percentile; typical, unremarkable volume), while T1022 shows 10.6K claims at $196 avg paid/claim for $2.1M (0.2% of Medicaid revenue) and ranks #4 of 334 (99th percentile; typical, unremarkable volume).

Operationally, the code mix (T1019 dominant with presence of T1020 and T1022) suggests a core business model focused on high-volume, time-based personal care services delivered outside of institutional settings, supplemented by per-diem and contracted daily home-health arrangements. This indicates the provider likely maintains the staffing, scheduling, and claims infrastructure required to support very large numbers of short-interval care episodes.

Competitive standing is mixed but strong in key areas: the provider is an extreme outlier for T1019 (top 1% statewide) and ranks highly for T1022, which positions it as a major in-state provider for certain contracted and personal-care delivery models, while its T1020 footprint is more typical and unremarkable relative to peers. Analysts should view MARKS HOMECARE as a leading Medicaid personal-care operator in NY for minute-based services, with more typical participation in per-diem personal care.

The provider’s tenure is established: NPI was enumerated on 2016-08-08 (~10 years ago), suggesting a multi-year operating history that has scaled rapidly in Medicaid personal care claims volume. That duration combined with current scale supports assessments of operational continuity and market entrenchment.

The extreme revenue concentration in T1019 (98.7% of Medicaid revenue) creates operational and reimbursement exposure: any policy, rate, or programmatic changes affecting T1019 reimbursement or eligibility criteria in NY could materially affect the provider’s revenue base. Given the $1.08B Medicaid revenue scale, payers and analysts should prioritize monitoring T1019-specific policy shifts and utilization trends when modeling financial impact or negotiating managed-care arrangements.

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 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…	6,647,290	$160	$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…	32,970	$360	$11.8M
T1022	Contracted home health agency services, all services provided under contract, per day	10,590	$200	$2.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1,860	$250	$463.6K

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

Marks Homecare Agency Inc — 3 of 4 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

4 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…	7	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…	121	350	12,660	$310	$13.1M
T1022	Contracted home health agency services, all services provided under contract, per day	4	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	5	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as Marks Homecare Agency Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chand Parveen Shaik	NY	Physical Therapist	$803.7K	$50.9K
Feliciano Espaillat	NY	Oral & Maxillofacial Surgery (D.M.D.)	$498.3K	$0
Corona Ing Inc	NY	Community Health Clinic/Center	$306.4K	$6.6K
Henry Moskowitz	NY	Specialist	$28.5K	$0

Marks Homecare Agency Inc — Billing Profile & Reimbursement Data

Sign up for Marks Homecare Agency Inc — Billing Profile & Reimbursement Data policy alerts

Marks Homecare Agency Inc — Billing Profile & Reimbursement Data

Sign up for Marks Homecare Agency Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References