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.

Ultimate Care, Inc. (NPI 1417002007)

Field	Value
Entity Type	Organization
Organization	Ultimate Care, Inc.
Address	1000 Gates Ave
City	Brooklyn
State	NY
ZIP	11221
Taxonomy	Home Health Agency
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$420.7M
Medicare	$0

Key Findings

ULTIMATE CARE, INC. is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and the entity reports $420.7M in lifetime Medicaid revenue, indicating near‑exclusive reliance on Medicaid for billed services. This concentration means Medicaid policy and rate changes are likely to have outsized impact on the provider's financials.

Revenue is highly concentrated in a single procedure family: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1019 alone representing $406.7M (96.7% of total), T1020 at $11.5M (2.7%), and S5125 at $2.4M (0.6%). That extreme concentration points to a business model built around a narrow set of billable services.

The code mix and descriptions identify ULTIMATE CARE as a high‑volume personal care/home attendant operation: T1019 is personal care services billed per 15 minutes, T1020 is personal care per diem, and S5125 is attendant care per 15 minutes. The predominance of time‑based personal care codes (both per‑15‑minute and per‑diem) suggests the agency’s delivery model is focused on routine hands‑on assistance and extended in‑home support rather than episodic skilled nursing or therapy visits.

Service volume reflects large scale in minute‑based personal care: T1019 shows 2.5M claims with an average paid amount of $160 per claim, far exceeding the other codes by claim count and total dollars. By contrast T1020 has 37.8K claims at $304 avg paid/claim and S5125 has 13.4K claims at $178 avg paid/claim, underscoring that the bulk of activity is carried out in the short‑interval, visit‑based personal care billing cadence represented by T1019.

Competitive standing across in‑state peers is mixed but notable in absolute scale: T1019 ranks #45 of 912 providers (95th percentile) while T1020 ranks #110 of 354 (69th percentile) and S5125 ranks #15 of 61 (77th percentile). Despite those percentile positions, each code is labeled in the source as "typical, unremarkable volume for this code," indicating that while the provider reports high absolute volume for T1019 relative to many peers, the pattern is not statistically flagged as an outlier by the reference metrics.

There is a limited breadth of ancillary billing: remaining listed codes such as T1022 ($90.3K), 99199 ($24.6K) and S5130 ($8.3K) contribute negligible revenue compared with the three primary codes, and S5130 in particular ranks in the 9th percentile statewide. This indicates the provider has minimal revenue outside core personal‑care/attendant services and does not appear to be diversifying into sizable alternative service lines on Medicaid.

Operational tenure is long enough to indicate established presence in the market: the NPI was enumerated on 2007‑01‑24 (~19 years ago), suggesting the agency has had sustained operations and payer relationships over nearly two decades. That longevity, coupled with heavy Medicaid reliance, frames this entity as an established Medicaid home‑care provider whose performance should be monitored primarily through Medicaid service mix and rate changes.

From a risk and business planning perspective, the provider’s reliance on T1019 for $406.7M (96.7% of its Medicaid revenue) creates concentrated exposure to changes in allowable units, reimbursement per 15‑minute unit, or audit focus on time‑based personal care billing. Analysts should treat reimbursement policy shifts for personal care/attendant services as high‑impact events for ULTIMATE CARE, INC., and prioritize monitoring of T1019 utilization trends and state Medicaid guidance.

Medicaid: Complete Services Breakdown

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

6 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…	2,541,600	$160	$406.7M
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…	37,800	$300	$11.5M
S5125	Attendant care services; per 15 minutes	13,400	$180	$2.4M
T1022	Contracted home health agency services, all services provided under contract, per day	470	$190	$90.3K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	120	$210	$24.6K
S5130	Homemaker service, nos; per 15 minutes	70	$120	$8.3K

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

Ultimate Care, Inc. — 1 of 6 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

6 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…	45	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…	110	350	12,660	$310	$13.1M
S5130	Homemaker service, nos; per 15 minutes	33	40	1,150	$60	$6.6M
S5125	Attendant care services; per 15 minutes	15	60	4,640	$100	$5.7M
T1022	Contracted home health agency services, all services provided under contract, per day	170	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	64	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as Ultimate Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bushwick Stuyvesant Heights Home Attendants, Inc.	NY	Home Health Agency	$0	$28.2M
Ultimate Care, Inc.	NY	Home Health Agency	$0	$24.7M
Mauro Castelobranco	NY	Physical Therapy Clinic/Center	$109.4K	$0

Ultimate Care, Inc. — Billing Profile & Reimbursement Data

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Ultimate Care, 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