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.

Caring Professionals, Inc (NPI 1457410904)

Field	Value
Entity Type	Organization
Organization	Caring Professionals, Inc
Address	7020 Austin St
City	Forest Hills
State	NY
ZIP	11375
Taxonomy	Home Health Agency
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$951.9M
Medicare	$0

Key Findings

CARING PROFESSIONALS, INC is a Home Health Agency (taxonomy) with an NPI enumerated on 2006-12-08 (~20 years ago), indicating long-standing operation in its market and institutional tenure that supports a sustained Medicaid billing profile.

This provider is effectively single-payer at scale: there is no Medicare billing on file while total Medicaid revenue totals $951.9M, so all reported federal-fee-for-service revenue comes from Medicaid.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, signaling that nearly all Medicaid receipts come from a very small set of service lines.

T1019 dominates the book of business, accounting for $902.9M in revenue and 94.9% of this provider's total Medicaid revenue. The code corresponds to personal care services billed per 15 minutes and the provider ranks #12 of 912 in-state (99th percentile), with volume described as notably above typical state volume for this code — together these facts identify the organization as a major statewide provider of high-volume personal care billed by increment.

T1020 is the second revenue driver with $48.5M (5.1% of total Medicaid revenue) and 179.5K claims; the provider ranks #24 of 354 in-state (93th percentile) and its reported volume is also described as notably above typical state volume for this per-diem personal care code. The combined dominance of T1019 and T1020 indicates an operational model focused on both time-based (per 15 minutes) and per-diem personal care delivery.

Other Medicaid codes (for example S5126 $346.4K, T1030 $170.9K, S5135 $14.9K) contribute immaterial shares (each listed as 0.0% of total Medicaid revenue) and appear unremarkable in volume and rank; S5126 ranks #16 of 21 (25th percentile) and is characterized as typical/unchanged relative to peers. This underlines that the provider’s Medicaid exposure is concentrated almost exclusively in personal-care codes rather than a diversified mix of nursing or companion services.

From a competitive-standing perspective, CARING PROFESSIONALS is a dominant in-state participant for the highest-revenue personal-care codes (T1019 and T1020) but absent from the Medicare market. The provider’s near-total reliance on two Medicaid codes creates operational and payer-concentration exposure despite its clear leadership position in those specific service lines.

Medicaid: Complete Services Breakdown

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

5 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…	5,406,510	$170	$902.9M
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…	179,550	$270	$48.5M
S5126	Attendant care services; per diem	1,150	$300	$346.4K
T1030	Nursing care, in the home, by registered nurse, per diem	1,940	$90	$170.9K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	160	$100	$14.9K

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.

Claims Volume vs. New York Distribution

Caring Professionals, Inc — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5126	Attendant care services; per diem	16	20	2,660	$80	$114M
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…	12	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…	24	350	12,660	$310	$13.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	7	10	350	$50	$7.4M
T1030	Nursing care, in the home, by registered nurse, per diem	61	210	450	$120	$728.3K

Nearby Providers

Other providers in the same ZIP code as Caring Professionals, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Acquisition Corp.	NY	Home Health Agency	$0	$1B
Caring Professionals, Inc.	NY	Home Health Agency	$0	$391.3M
Infiniti Home Care Inc	NY	Home Health Agency	$0	$378.6M
New Millenium Ny, Inc	NY	Home Health Agency	$0	$214.6M
Bilinguals Inc.	NY	Early Intervention Provider Agency	$0	$103.6M
Infiniti Home Care, Inc Dba Continental Home Care	NY	Home Health Agency	$0	$59.3M
The Child Center Of Ny, Inc.	NY	Adolescent and Children Mental Health Clinic/Center	$0	$57.6M
Eva Homecare Agency, Inc.	NY	Home Health Agency	$0	$55.3M
Attentive Home Care, Inc	NY	Home Health Agency	$0	$31.4M
Safety 1st Homecare Inc	NY	Home Health Agency	$0	$28.3M

Caring Professionals, Inc — Billing Profile & Reimbursement Data

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Caring Professionals, 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