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    OpenPayerNPI Medicare & MedicaidSpecial Touch Home Care Services, Inc.
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    Special Touch Home Care Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1447393319 · Brooklyn, NY · Home Health Agency

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    Special Touch Home Care Services, Inc. is a home health agency provider located in Brooklyn, New York. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSpecial Touch Home Care Services, Inc.
    Address2091 Coney Island Ave
    CityBrooklyn
    StateNY
    ZIP11223
    TaxonomyHome Health Agency
    NPI EnumeratedFebruary 14, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$747.3M
    Medicare$0

    Key Findings

    This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $747.3M, indicating that its scale and market presence are built almost entirely on Medicaid business rather than Medicare. The NPI was enumerated 2007-02-14 (~19 years ago), showing a long-tenured presence in the market that aligns with the large cumulative Medicaid revenue.

    Revenue concentration is extreme within Medicaid: the precomputed top three codes account for 99.9% of the provider's Medicaid revenue, and a single code, T1019, alone represents $686.7M (91.9% of Medicaid revenue). This level of concentration implies the provider’s financial performance is heavily dependent on one service type and associated reimbursement and utilization policies.

    The code mix shows this is primarily a personal/attendant care operator rather than a skilled home health agency: T1019 (personal care services, per 15 minutes) has 3.9M claims with $174 avg paid/claim and drives the vast majority of revenue, complemented by T1020 (personal care services, per diem) with 191K claims and $284 avg paid/claim. The presence of high-volume per‑15‑minute billing combined with per‑diem personal care suggests operations organized around long‑duration, non‑skilled personal assistance rather than episodic skilled nursing.

    Competitive standing within New York is strong for the top personal care codes: T1019 ranks #23 of 912 providers in-state (98th percentile) and T1020 ranks #21 of 354 providers (94th percentile), both described as notably above typical state volume. By contrast, attendant care S5125 generates $5.5M (0.7% of Medicaid revenue) with 28.4K claims and ranks #7 of 61 (90th percentile) and is characterized as typical, unremarkable volume; this pattern indicates statewide leadership in core personal care billing but only routine participation in attendant care lines.

    Operational scale and billing behavior are visible in claim and unit economics: T1019 shows 3.9M claims at $174 avg paid/claim, while T1020 shows 191K claims at $284 avg paid/claim, indicating the provider generates most revenue through many short‑unit personal care services rather than a small number of high‑dollar per‑diem placements. This suggests a staffing and scheduling model optimized for high volume of discrete personal care units.

    The reliance on a narrow set of Medicaid codes creates a concentrated reimbursement profile: with 99.9% of Medicaid revenue tied to the top three codes, shifts in state policy, eligibility rules, or audit focus around T1019/T1020 could materially affect revenue. Analysts should treat the provider as high-concentration exposure to Medicaid personal care policy and utilization changes.

    Smaller ancillary codes and volumes exist but are immaterial to overall revenue: S5126, 99199, and S5130 together account for a tiny share of Medicaid revenue (each listed with low dollar amounts and low percent shares) and rank variably across modest provider pools, indicating a narrow service portfolio centered on personal care and attendant services. This supports the conclusion that the business model is specialized rather than diversified across multiple home health service types.

    Given the provider’s long tenure (NPI enumerated 2007-02-14 (~19 years ago)) and its top-state percentile rankings for T1019 and T1020, SPECIAL TOUCH HOME CARE SERVICES, INC. should be considered a major, established Medicaid personal care provider in New York, with organizational capabilities to manage very high volumes of per‑15‑minute personal care billing. However, its complete absence of Medicare billing and very high Medicaid concentration are key features analysts should weigh when assessing payer mix and competitive risk.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…3,946,810$170$686.7M
    T1020Personal 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…191,020$280$54.2M
    S5125Attendant care services; per 15 minutes28,430$190$5.5M
    S5126Attendant care services; per diem2,420$300$723.6K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.350$230$79.6K
    S5130Homemaker service, nos; per 15 minutes460$80$36.9K

    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.

    Full comparison — all codes billed, vs. New York median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5126Attendant care services; per diem14202,660$80$114M
    T1019Personal 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…23910108,820$150$81.8M
    T1020Personal 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…2135012,660$310$13.1M
    S5130Homemaker service, nos; per 15 minutes27401,150$60$6.6M
    S5125Attendant care services; per 15 minutes7604,640$100$5.7M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.3117080$20$68.2K

    Nearby Providers

    Other providers in the same ZIP code as Special Touch Home Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    S & A Unified Home Care, Inc.NYHome Health Agency$0$459.9M
    Elite Choice LLCNYHome Health Agency$0$363.1M
    Paramount Home Care Agency, IncNYHome Health Agency$0$297.9M
    Magic Home Care, LLCNYHome Health Agency$0$293.4M
    Elite Hhc LLCNYHome Health Agency$0$213.3M
    Hsm Personal Care CorpNYIn Home Supportive Care Agency$0$136.5M
    Arvut Home Care IncNYHome Health Agency$0$116.1M
    Silver Lining Homecare Agency, Inc.NYHome Health Agency$0$104.2M
    Quality Touch, Inc.NYCase Management Agency$0$67.5M
    Lifeline Ambulance Service IncNYLand Ambulance$5.4M$42.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New York Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Special Touch Home Care Services, Inc. — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York