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.

Assistcarehome Healthcare Services (NPI 1396051694)

Field	Value
Entity Type	Organization
Organization	Assistcarehome Healthcare Services
Address	148 39th St Bldg 19-4th
City	Brooklyn
State	NY
ZIP	11232
Taxonomy	Home Health Agency
NPI Enumerated	August 24, 2010

Payer Source	Total Paid
Medicaid	$1.4B
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file while Medicaid billing totals $1.44B, indicating ASSISTCAREHOME HEALTHCARE SERVICES operates almost exclusively in the Medicaid market as a Home Health Agency. The absence of Medicare revenue means comparisons to national Medicare peers are not applicable and the provider’s financial and operational profile should be evaluated through a Medicaid-focused lens.

Revenue is extremely concentrated in a tiny set of service codes: the top three Medicaid codes account for 99.7% of the provider’s total Medicaid revenue. In particular, T1019 alone generates $1.26B (87.8% of Medicaid revenue) and T1020 generates $168.2M (11.7%), making these two codes the primary drivers of the organization’s entire revenue base.

The code mix signals a business model built around personal care services rather than skilled Medicare-style home health visits: T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem) dominate billing, while traditional skilled nursing codes such as T1030 (nursing care, per diem) account for only $3M (0.2% of Medicaid revenue) and S9123 (nursing care by RN, hourly) accounts for $2.5M (0.2%). This suggests operational focus on long-duration personal care and attendant services rather than high-volume skilled clinical interventions.

State-level competitive standing for the two main codes is exceptional: T1020 ranks #1 of 354 providers in-state and is labeled an "extreme outlier" (100th percentile), and T1019 ranks #4 of 912 providers in-state and is also an "extreme outlier" (100th percentile). These ranks indicate the provider is a dominant participant in New York for Medicaid personal care service lines and operates at volumes far above typical in-state peers for those codes.

Although two personal-care codes drive nearly all revenue, the provider does bill a broader set of smaller services that together form a negligible revenue tail: examples include T2024 ($749.9K), T1022 ($411.6K), T1031 ($284.1K), and S9131 ($26.4K). These smaller line items are generally ranked in typical to unremarkable percentiles in-state, which implies limited diversification away from the core personal-care business.

The provider has an established operational history, with an NPI enumeration date of 2010-08-24 (~16 years ago). That tenure combined with extreme volume concentrated in a few Medicaid personal-care codes suggests a mature, scaled provider in the state Medicaid market that has specialized its service mix over many years.

Given the extreme concentration in T1019 and T1020 and their statistical "extreme outlier" status, contract managers and network analysts should treat this entity as a specialized, high-volume personal care vendor; its dominance for those codes may influence Medicaid network negotiations and utilization oversight. At the same time, lack of Medicare activity limits its negotiating footprint to Medicaid payers and programs.

Medicaid: Complete Services Breakdown

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

17 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…	8,834,310	$140	$1.3B
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…	497,550	$340	$168.2M
T1030	Nursing care, in the home, by registered nurse, per diem	22,430	$130	$3M
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)	19,120	$130	$2.5M
T2024	Service assessment/plan of care development, waiver	4,840	$160	$749.9K
T1022	Contracted home health agency services, all services provided under contract, per day	2,250	$180	$411.6K
T1031	Nursing care, in the home, by licensed practical nurse, per diem	2,000	$140	$284.1K
T1001	Nursing assessment / evaluation	640	$100	$61.8K
S5130	Homemaker service, nos; per 15 minutes	540	$100	$51.6K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	230	$220	$51.2K

Showing 1–10 of 17

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

Assistcarehome Healthcare Services — 2 of 15 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

17 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…	4	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…	1	350	12,660	$310	$13.1M
S5130	Homemaker service, nos; per 15 minutes	25	40	1,150	$60	$6.6M
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)	13	110	1,520	$250	$1.5M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	41	50	930	$160	$1.4M
S9131	Physical therapy; in the home, per diem	74	90	2,630	$100	$1.1M
T2024	Service assessment/plan of care development, waiver	10	70	1,200	$200	$856.3K
T1030	Nursing care, in the home, by registered nurse, per diem	12	210	450	$120	$728.3K
T1001	Nursing assessment / evaluation	41	120	150	$130	$514.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	8,044	19,110	360	$70	$321K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Assistcarehome Healthcare Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Platinum Home Health Care Inc.	NY	Home Health Agency	$0	$866M
Human Care LLC	NY	Home Health Agency	$0	$839.5M
New York Network Ipa Inc	NY	Exclusive Provider Organization	$0	$529.1M
Js Home Care Agency Of Ny	NY	Home Health Agency	$0	$389.1M
Ateres Mordechai	NY	Early Intervention Provider Agency	$0	$66.5M
Human Care LLC.	NY	Home Health Agency	$0	$59.9M
Unicare C.d.c.	NY	Home Health Agency	$0	$26.2M
Js Homecare Agency Of Ny, Inc.	NY	Home Health Agency	$0	$25M
Postgraduate Center For Mental Health	NY	Community/Behavioral Health Agency	$0	$23.6M
Enrique Guillen	NY	General Practice Dentistry	$265.5K	$0

Assistcarehome Healthcare Services — Billing Profile & Reimbursement Data

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Assistcarehome Healthcare Services — 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