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.

The Royal Care Fi LLC (NPI 1437541133)

Field	Value
Entity Type	Organization
Organization	The Royal Care Fi LLC
Address	6323 14th Ave
City	Brooklyn
State	NY
ZIP	11219
Taxonomy	Home Health Agency
NPI Enumerated	March 4, 2015

Payer Source	Total Paid
Medicaid	$323.7M
Medicare	$0

Key Findings

THE ROYAL CARE FI LLC is effectively a single‑payer Medicaid operator: there is no Medicare billing on file and the provider reports $323.7M in lifetime Medicaid revenue, indicating the organization’s entire documented payer-scale activity is concentrated in Medicaid rather than a mixed Medicare/Medicaid footprint. This makes Medicaid policy, reimbursement rates, and state-level demand the primary drivers of the entity’s financial performance.

Revenue is extremely concentrated in a single procedure family: the precomputed top‑3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and T1019 alone is listed as accounting for $323.7M (100.0% of this provider’s total Medicaid revenue). That concentration implies the business’s revenue stream is overwhelmingly dependent on one code and its reimbursement environment.

The provider’s operational profile is consistent with large‑scale, labor‑intensive personal care delivery: T1019 (personal care services, per 15 minutes) shows 2.3M claims with a $139 avg paid/claim, which aligns with a per‑unit, time‑based home care model that generates high claim volumes and requires substantial workforce and scheduling capacity. The code description and claims pattern suggest the entity operates primarily as a personal care/home attendant provider rather than as a traditional skilled home health agency.

Despite the high absolute Medicaid revenue, the dataset characterizes the T1019 volume as statistically ordinary within the code’s distribution: T1019 ranks #51 of 912 providers in-state (95th percentile; typical, unremarkable volume for this code). In practical terms, the provider is a high‑volume in‑state participant for this code, but that volume remains within expected patterns for how T1019 is commonly billed across peers.

Secondary codes contribute negligible Medicaid revenue by comparison: T1022 (contracted home health agency services, per day) and 99199 (other medicine services) are recorded with $21.2K and $19K in revenue respectively and are each reported as 0.0% of this provider’s total Medicaid revenue. Both codes are modest in scale relative to T1019 and are ranked in middle/lower tiers among their in‑state peer groups (T1022: #229 of 334, 32th percentile; 99199: #83 of 167, 51th percentile), indicating these lines are occasional or ancillary to the core personal‑care offering.

The claim-level profile (2.3M claims for T1019) signals significant operational scale in episode handling, billing throughput, and workforce management even though unit payments are relatively modest ($139 avg paid/claim). This combination—very high claim volume and mid‑range per‑claim payments—is typical for time‑based personal care services and implies sizable administrative and payroll infrastructure to support delivery.

Concentration risk is material: because essentially all documented Medicaid revenue is tied to T1019, the provider’s financial performance is vulnerable to changes in state Medicaid policy, reimbursement rates for personal care, prior authorization requirements, or shifts in utilization patterns for that single service. Analysts should treat rate changes to T1019 or regulatory updates affecting personal care services as potential inflection points for the provider’s revenue.

The organization has an established market presence with an NPI enumerated on 2015-03-04 (~11 years ago), which suggests a sustained operating history in the Brooklyn/NY market and that the high T1019 volume reflects long‑standing service delivery rather than a very recent scale‑up. Combine tenure with the high claim counts to infer operational entrenchment in the Medicaid personal‑care segment.

Medicaid: Complete Services Breakdown

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

3 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…	2,328,510	$140	$323.7M
T1022	Contracted home health agency services, all services provided under contract, per day	260	$80	$21.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	80	$240	$19K

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

The Royal Care Fi LLC — 0 of 3 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

3 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…	51	910	108,820	$150	$81.8M
T1022	Contracted home health agency services, all services provided under contract, per day	229	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	83	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as The Royal Care Fi LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A & J Staffing, Inc	NY	Home Health Agency	$0	$776.3M
The Royal Care Inc	NY	Home Health Agency	$0	$738.8M
Community Home Care Referral Service, Inc.	NY	Home Health Agency	$0	$527.5M
Hamaspik Of Kings County	NY	Case Management Agency	$0	$295.2M
Maimonides Medical Center	NY	General Acute Care Hospital	$0	$260.9M
All Care Home Health Services LLC	NY	Home Health Agency	$0	$260M
Alternate Staffing, Inc.	NY	Home Health Agency	$0	$236.5M
Human Care Services For Families And Children Inc	NY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$204M
Regency Health Care, Inc	NY	Home Health Agency	$0	$157.6M
Greater New York Home Care LLC	NY	Home Health Agency	$0	$135M

The Royal Care Fi LLC — Billing Profile & Reimbursement Data

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The Royal Care Fi LLC — 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