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    OpenPayerNPI Medicare & MedicaidBnv Home Care Agency, Inc.
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    Bnv Home Care Agency, Inc. — Billing Profile & Reimbursement Data

    NPI 1447488721 · Rego Park, NY · Home Health Agency

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    Bnv Home Care Agency, Inc. is a home health agency provider located in Rego Park, 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
    OrganizationBnv Home Care Agency, Inc.
    Address96-60 Queens Blvd
    CityRego Park
    StateNY
    ZIP11374
    TaxonomyHome Health Agency
    NPI EnumeratedJune 25, 2009

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

    Payer SourceTotal Paid
    Medicaid$635.6M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in its claims mix: there is no Medicare billing on file while lifetime Medicaid revenue totals $635.6M, indicating the organization operates almost entirely within the Medicaid market rather than as a dual-payer home health provider. Analysts should treat any Medicare-focused comparisons as inapplicable for this entity.

    Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1019 alone representing $531.7M (83.7%) and T1020 contributing $103.4M (16.3%). This concentration means nearly all cash flow is driven by personal care service lines captured by those two codes.

    The code mix points to a business model centered on personal care delivery rather than skilled Medicare home health services: T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem) together make up essentially all revenue, while clinically oriented codes that represent skilled nursing or Medicare home health are absent or immaterial. This suggests operations are focused on long‑term personal care and attendant services under individualized plans of treatment.

    Competitive standing in-state is mixed by code: for T1019 the provider ranks #34 of 912 (96th percentile) and is described as a typical, unremarkable volume for that code, which positions the agency as a high-volume but not atypical provider of per‑15‑minute personal care relative to many peers. The ranking shows significant scale for T1019 within New York even if the statistical label indicates this level of activity is common among similarly sized providers.

    By contrast, T1020 activity is an outlier: the provider ranks #5 of 354 in-state (99th percentile) for the per‑diem personal care code and is explicitly labeled an extreme outlier, indicating the agency is a dominant provider of per‑diem personal care services in its state. That exceptional standing on T1020 marks a competitive edge in per‑day personal care assignments that peers are unlikely to match.

    Smaller Medicaid codes and ancillary services are negligible to revenue and competitive profile: T1022 accounts for $214.2K (0.0% of Medicaid revenue) and ranks #105 of 334 (68th percentile), while other procedure-level Medicaid codes listed generate only de minimis revenue. Operationally, this means overhead and strategic planning are likely justified primarily by demand for the two dominant personal care codes rather than breadth of service offerings.

    The extreme concentration in a handful of Medicaid codes creates material exposure to policy or rate changes affecting personal care reimbursement; since T1019 and T1020 drive virtually all revenue, any modifications to per‑15‑minute or per‑diem payment rules could meaningfully alter the provider’s financial profile. Risk assessments and contract negotiations should prioritize scenario analysis for changes to those specific codes.

    This entity is long‑tenured in the Medicaid market, with an NPI enumeration date of 2009-06-25 (~17 years ago), and has accumulated substantial lifetime Medicaid revenue of $635.6M during that period. The combination of longevity and the scale concentrated in T1019 and T1020 suggests an established operational footprint focused on Medicaid personal care services rather than a recently formed or Medicare‑oriented entrant.

    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…3,109,410$170$531.7M
    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…333,600$310$103.4M
    T1022Contracted home health agency services, all services provided under contract, per day830$260$214.2K
    T1030Nursing care, in the home, by registered nurse, per diem1,730$90$152.1K
    G0162Skilled 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…980$90$87.8K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.100$360$36K

    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
    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…34910108,820$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…535012,660$310$13.1M
    T1030Nursing care, in the home, by registered nurse, per diem66210450$120$728.3K
    T1022Contracted home health agency services, all services provided under contract, per day105330470$170$231.1K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.6917080$20$68.2K
    G0162Skilled 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…850130$80$31.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marks Home Care Agency Of Ny, IncNYHome Health Agency$0$442.8M
    International Home Care Services Of Ny, LLCNYHome Health Agency$0$176.9M
    Ahs Eldercare LLCNYHome Health Agency$0$100.1M
    At Home Solutions LLCNYHome Health Agency$0$94.5M
    N And J Home Care IncNYHome Health Agency$0$66.8M
    Seniorcare Hha, IncNYHome Health Agency$0$24.3M
    Douglas UhligNYPsychologist$188.3K$3.6M
    Stella IlyayevaNYEndocrinology, Diabetes & Metabolism Physician$685.9K$1.9M
    Neal LisannNYDiagnostic Radiology Physician$491.5K$820.3K
    Irina ZolotarevskayaNYPulmonary Disease Physician$720.6K$192.8K

    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
    Bnv Home Care Agency, Inc. — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York