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.

Accentcare Of New York, Inc. (NPI 1386751162)

Field	Value
Entity Type	Organization
Organization	Accentcare Of New York, Inc.
Address	27 Main St
City	Yonkers
State	NY
ZIP	10701
Taxonomy	Home Health Agency
NPI Enumerated	August 25, 2006

Payer Source	Total Paid
Medicaid	$265.4M
Medicare	$0

Key Findings

ACCENTCARE OF NEW YORK, INC. shows no Medicare billing on file and $265.4M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer Medicaid rather than a mixed Medicare/Medicaid operator. The absence of Medicare claims suggests the organization is not participating in Medicare-covered home health services during the reporting period, while Medicaid is the dominant revenue source.

Revenue is highly concentrated in a narrow set of personal-care codes: the top three Medicaid codes together account for 99.9% of this provider's total Medicaid revenue. T1019 alone represents $238.4M (89.8% of Medicaid revenue) and 1.4M claims, while T1020 contributes $26.3M (9.9%) and S5125 contributes $287.4K (0.1%), indicating the business model generates almost all revenue from routine personal/attendant care codes.

The code mix (predominantly T1019 and T1020) indicates ACCENTCARE operates primarily as a personal care/attendant-care provider rather than a skilled Medicare-style home health agency; T1019 is personal care per 15 minutes and T1020 is personal care per diem, which together account for nearly all billing. This pattern suggests day-to-day non-skilled personal assistance and care management under Medicaid-funded long-term services and supports are the core service line.

Despite the concentrated revenue, the provider's market position for its largest Medicaid code is high but not dominant: T1019 ranks #86 of 912 providers in-state (91th percentile; typical, unremarkable volume for this code). Similarly, T1020 ranks #45 of 354 providers (88th percentile; typical, unremarkable volume for this code), which positions ACCENTCARE as a solid regional participant in personal care while not an outlier leader.

Smaller code activity underscores a limited role for more skilled or contract-based services: G0162 (skilled RN management/evaluation) produced $69.9K and ranks #14 of 54 providers (75th percentile; typical, unremarkable volume for this code), while T1022 (contracted home health agency services) and S5126 (attendant care per diem) are low-volume relative to peers (T1022: $31.7K and rank #279 of 334, 16th percentile; S5126: $162K and rank #19 of 21, 10th percentile). These lower percentiles and dollar totals indicate limited reliance on skilled nursing or contracted agency billing.

Operational scale is reflected in both claim counts and average payments for top codes: T1019 shows 1.4M claims with $172 avg paid/claim and T1020 shows 85.3K claims with $309 avg paid/claim, confirming a high-volume, lower-unit-payment service model typical of personal care delivery. This high-claim, moderate-payment structure aligns with labor-intensive attendant care operations where reimbursement is tied to time-based units.

Tenure data show an established presence: the NPI was enumerated on 2006-08-25 (~20 years ago), indicating long-standing operation in the New York home- and personal-care market. That tenure, combined with concentrated Medicaid revenue, suggests the organization has sustained focus on Medicaid-funded personal care over an extended period.

From a competitive-risk perspective, ACCENTCARE is a major Medicaid personal-care participant by scale of revenue but not an extreme outlier in utilization metrics: its top-code percentiles indicate it is above average in volume for core personal care codes yet still comparable to many peers, while several other service codes register modest-to-low activity. For payer strategy and network decisions, this profile signals a provider to consider for Medicaid personal care capacity rather than for diversified skilled-home-health or Medicare-driven services.

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…	1,386,120	$170	$238.4M
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…	85,270	$310	$26.3M
S5125	Attendant care services; per 15 minutes	1,740	$170	$287.4K
S5126	Attendant care services; per diem	870	$190	$162K
G0162	Skilled 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…	580	$120	$69.9K
T1022	Contracted home health agency services, all services provided under contract, per day	110	$300	$31.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	80	$350	$26.4K
T1001	Nursing assessment / evaluation	230	$90	$19.9K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	220	$60	$13.3K

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.

Claims Volume vs. New York Distribution

Accentcare Of New York, Inc. — 0 of 9 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
S5126	Attendant care services; per diem	19	20	2,660	$80	$114M
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…	86	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…	45	350	12,660	$310	$13.1M
S5125	Attendant care services; per 15 minutes	42	60	4,640	$100	$5.7M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	81	110	1,520	$250	$1.5M
T1001	Nursing assessment / evaluation	54	120	150	$130	$514.1K
T1022	Contracted home health agency services, all services provided under contract, per day	279	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	91	170	80	$20	$68.2K
G0162	Skilled 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…	14	50	130	$80	$31.5K

Nearby Providers

Other providers in the same ZIP code as Accentcare Of New York, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montefiore Medical Center	NY	Case Management Agency	$0	$73M
St. Joseph's Hospital, Yonkers	NY	General Acute Care Hospital	$214.8K	$69.7M
St. John's Riverside Hospital	NY	General Acute Care Hospital	$318.7K	$66.3M
Family Service Society Of Yonkers	NY	Home Health Agency	$0	$24.1M
Amit Khaneja	NY	Clinical Neurophysiology Physician	$1.3M	$301K
Sachin Kumar Amruthlal Jain	NY	Cardiovascular Disease Physician	$773K	$663.1K
Sherif El-masry	NY	Urology Physician	$238.2K	$447.9K
Majed Samarneh	NY	Internal Medicine Physician	$446.2K	$81.5K
Michael Ficazzola	NY	Urology Physician	$422K	$3.7K
Carl Gerardi	NY	Urology Physician	$273.9K	$0

Accentcare Of New York, Inc. — Billing Profile & Reimbursement Data

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Accentcare Of New York, 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