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.

Cooperative Home Care Associates, Inc (NPI 1447575204)

Field	Value
Entity Type	Organization
Organization	Cooperative Home Care Associates, Inc
Address	400 E Fordham Rd
City	Bronx
State	NY
ZIP	10458
Taxonomy	Home Health Agency
NPI Enumerated	April 5, 2010

Payer Source	Total Paid
Medicaid	$269.4M
Medicare	$0

Key Findings

No Medicare billing on file for this NPI; the provider is effectively single-payer with Medicaid only, reporting lifetime Medicaid revenue of $269.4M and “no Medicare billing on file.” This concentration in a single public program defines its revenue base and contracting exposure.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and a single code, T1019, produces $266.2M (98.8% of the provider's Medicaid revenue). This indicates nearly all Medicaid dollars flow through time‑based personal care billing rather than a diversified set of service codes.

The code mix strongly indicates an operation focused on non‑medical personal care and attendant services rather than skilled home health care: T1019 (1.4M claims, $191 avg paid/claim, $266.2M revenue) is the dominant revenue driver, supplemented by S5125 (14.3K claims, $142 avg paid/claim, $2M revenue) and T1020 (4.3K claims, $258 avg paid/claim, $1.1M revenue). Together these codes reflect a business model built around per‑15‑minute and per‑diem personal care and attendant services in the home.

Competitive standing within the state is mixed: T1019 ranks #83 of 912 in‑state (91th percentile) but is described in the data as “typical, unremarkable volume for this code,” suggesting the provider is a substantial participant by absolute revenue while not a statistical extreme outlier for T1019 activity. S5125 ranks #14 of 61 (78th percentile), indicating relatively strong placement among a small set of in‑state attendants, whereas T1020 ranks #231 of 354 (35th percentile), showing modest use of per‑diem personal care relative to peers.

Operational implications follow from the billing units: heavy usage of per‑15‑minute codes (T1019 and S5125) implies a time‑based service delivery model with many short visits and substantial claim counts (1.4M claims for T1019). The presence of T1020 per diem billing in smaller volume suggests occasional reliance on daily packaged reimbursement, while S9122 (59 claims, $135 avg paid/claim, $8K revenue) is negligible and ranks #44 of 45 (2th percentile), indicating almost no reliance on hourly home health aide billing.

Tenure and scale: the NPI was enumerated on 2010-04-05 (~16 years ago), establishing this business as a long‑standing home care provider in Bronx, NY. Combined with $269.4M in lifetime Medicaid revenue, the dataset supports classifying the organization as a long‑established, large Medicaid personal‑care operator in its market.

Concentration risk and strategic sensitivity: because T1019 alone accounts for $266.2M (98.8%) and the top three codes account for 100.0% of Medicaid revenue, any policy, reimbursement, or audit changes affecting T1019 (or time‑based personal care billing rules) would disproportionately impact this provider’s entire revenue stream. This lack of Medicaid service diversification represents a material operational vulnerability and a focal area for payer management or contract negotiations.

Medicaid: Complete Services Breakdown

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

4 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…	1,393,850	$190	$266.2M
S5125	Attendant care services; per 15 minutes	14,270	$140	$2M
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…	4,320	$260	$1.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	60	$140	$8K

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

Cooperative Home Care Associates, Inc — 0 of 4 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

4 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…	83	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…	231	350	12,660	$310	$13.1M
S5125	Attendant care services; per 15 minutes	14	60	4,640	$100	$5.7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	44	50	930	$160	$1.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Home Care Services, Inc.	NY	Home Health Agency	$0	$329.6M
Union Community Health Center, Inc.	NY	Clinic/Center	$0	$88.7M
Cooperative Home Care Associates, Inc	NY	Home Health Agency	$0	$38.9M
Medalliance Medical Health Services Inc	NY	Clinic/Center	$0	$32.5M
Mark Fromer, LLC	NY	Ambulatory Surgical Clinic/Center	$409.1K	$1.9M
Mitchell Butin	NY	Psychiatry Physician	$423.7K	$0
Medassure LLC	NY	Community/Retail Pharmacy	$86.5K	$87.8K
Darren Esposito	NY	Internal Medicine Physician	$121.5K	$10.7K
Rachel Spiers	NY	Occupational Therapist	$7.8K	$0

Cooperative Home Care Associates, Inc — Billing Profile & Reimbursement Data

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Cooperative Home Care Associates, 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