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    OpenPayerNPI Medicare & MedicaidGood Care Agency Inc
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    Good Care Agency Inc — Billing Profile & Reimbursement Data

    NPI 1447510326 · Brooklyn, NY · Home Health Agency

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    Good Care Agency 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
    OrganizationGood Care Agency Inc
    Address2671 Coney Island Ave
    CityBrooklyn
    StateNY
    ZIP11235
    TaxonomyHome Health Agency
    NPI EnumeratedMay 24, 2012

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

    Payer SourceTotal Paid
    Medicaid$264.5M
    Medicare$0

    Key Findings

    GOOD CARE AGENCY INC is effectively a single-payer Medicaid operator: Total Medicare revenue is listed as none (no Medicare billing on file) while total Medicaid revenue is $264.5M, indicating the provider’s entire documented public revenue footprint is concentrated in Medicaid. This billing profile makes the entity highly dependent on Medicaid reimbursement and state program policies for its financial health.

    Revenue is extremely concentrated in a narrow set of service codes: the precomputed top three codes (T1019, T1020, T2024) together account for 99.9% of the provider’s Medicaid revenue. T1019 alone represents $254.5M and 1.5M claims (96.2% of this provider's total Medicaid revenue), T1020 accounts for $8.6M and 29.6K claims (3.2%), and T2024 contributes $1.2M and 5.9K claims (0.4%).

    The code mix signals a business model focused on personal care and waiver-based support rather than traditional skilled home health: the dominant T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem) together drive the vast majority of revenue, and T2024 (service assessment/plan of care development, waiver) is the principal care-planning/compliance code reported. This pattern is consistent with an operation delivering high-volume, routine personal assistance and waiver-managed services rather than episodic skilled nursing care.

    Despite generating the bulk of its Medicaid revenue from T1019, the provider’s statistical standing for that code is described in the dataset as "typical, unremarkable volume for this code"; the record shows T1019 ranks #77 of 912 providers in-state and is at the 92th percentile. In plain terms, GOOD CARE AGENCY INC is a large-volume biller of T1019 in absolute dollars and claims, yet that activity falls inside the common distribution of in-state providers for that service.

    For its secondary codes, the provider’s competitive position is mixed: T1020 ranks #129 of 354 in-state (64th percentile) and is also labeled "typical, unremarkable volume for this code", indicating a moderate statewide presence for per-diem personal care; by contrast, T2024 ranks #8 of 65 in-state (89th percentile) and is labeled "typical, unremarkable volume for this code", which signals relatively strong placement among providers that bill waiver assessment/plan-of-care services. These rankings suggest particular strength in assessment/waiver workflows even if overall code-level labels indicate conformity with typical volume patterns.

    GOOD CARE AGENCY INC’s revenue exposure is concentrated and therefore sensitive to changes in Medicaid policy, fee schedules, or program eligibility for personal care services: because T1019 accounts for 96.2% of reported Medicaid revenue and the top three codes total 99.9%, any reimbursement or utilization shifts for those codes would materially affect the provider’s financials. The lack of Medicare billing further limits revenue diversification, increasing the financial impact of state-level Medicaid changes.

    The provider has an established operating history in the data: NPI enumerated (registered) 2012-05-24 (~14 years ago), which denotes multi-year participation in the Medicaid market. Ancillary services appear minimal relative to core personal care lines — S9123 ($146.3K, 0.1% of Medicaid revenue; ranks #55 of 110, 50th percentile), T1022 ($85.4K, 0.0% of Medicaid revenue; ranks #65 of 334, 81th percentile), and T1001 ($13.3K, 0.0% of Medicaid revenue; ranks #64 of 117, 46th percentile) are all marginal contributors, indicating limited revenue diversification beyond the top personal-care and waiver codes.

    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…1,523,940$170$254.5M
    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…29,620$290$8.6M
    T2024Service assessment/plan of care development, waiver5,880$200$1.2M
    S9123Nursing 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)1,540$100$146.3K
    T1022Contracted home health agency services, all services provided under contract, per day1,340$60$85.4K
    T1001Nursing assessment / evaluation140$100$13.3K

    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.

    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…77910108,820$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…12935012,660$310$13.1M
    S9123Nursing 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)551101,520$250$1.5M
    T2024Service assessment/plan of care development, waiver8701,200$200$856.3K
    T1001Nursing assessment / evaluation64120150$130$514.1K
    T1022Contracted home health agency services, all services provided under contract, per day65330470$170$231.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Family Care, IncNYHome Health Agency$0$841M
    S & A Unified Home Care, Inc.NYHome Health Agency$0$766.2M
    All American Homecare Agency Inc.NYHome Health Agency$0$758.7M
    Attentive Home Care Agency IncNYHome Health Agency$0$537.9M
    Advantage Management Associates Inc.NYHome Health Agency$0$335.9M
    Parkshore Home Health Care LLCNYHome Health Agency$0$300.4M
    Eagle Eye Fv, IncNYHome Health Agency$0$245M
    Friendly Home CareNYHome Health Agency$0$197.1M
    All American Homecare Agency Inc.NYHome Health Agency$0$166M
    Advance Home Care LLCNYHome Health Agency$0$148.6M

    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
    Good Care Agency Inc — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York