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    OpenPayerNPI Medicare & MedicaidS & A Unified Home Care, Inc.
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    S & A Unified Home Care, Inc. — Billing Profile & Reimbursement Data

    NPI 1457562811 · Brooklyn, NY · Home Health Agency

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    S & A Unified Home Care, Inc. is a home health agency provider located in Brooklyn, New York. This profile covers 0 Medicare and 7 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
    OrganizationS & A Unified Home Care, Inc.
    Address2729 Coney Island Ave
    CityBrooklyn
    StateNY
    ZIP11235
    TaxonomyHome Health Agency
    NPI EnumeratedMay 25, 2007

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

    Payer SourceTotal Paid
    Medicaid$766.2M
    Medicare$0

    Key Findings

    S & A UNIFIED HOME CARE, INC. (Home Health Agency) is an established provider in Brooklyn, NY with an NPI enumerated 2007-05-25 (~19 years ago), indicating nearly two decades of registration in the Medicare/Medicaid enrollment system. This tenure suggests operational stability and an established presence in the state market but does not by itself indicate payer mix or service focus.

    This provider has no Medicare billing on file and reports $766.2M in lifetime Medicaid revenue, making its activity effectively single-payer (Medicaid) at scale. The absence of Medicare claims means analyses of Medicare-side referral patterns, skilled home health utilization, or Medicare revenue diversification are not possible for this entity.

    Revenue is extremely concentrated: the top 3 Medicaid codes by revenue account for 100.0% of the provider's total Medicaid revenue. In particular, T1019 alone represents 95.4% of Medicaid revenue ($730.6M), T1020 accounts for 4.6% ($35.1M), and T1022 contributes $277.5K (0.0% of total Medicaid revenue) — together these three codes fully explain the provider's Medicaid revenue base.

    The code mix (dominance of T1019 and material T1020) indicates the organization operates primarily as a personal care services provider rather than a traditional skilled Medicare home health agency: T1019 is personal care services billed per 15 minutes and T1020 is personal care services per diem, while contracted home health (T1022) is a negligible share. This pattern points to a business model focused on long-duration, non-skilled personal care and attendant services under Medicaid waivers or state personal care programs.

    On competitive standing for high-volume personal care, the provider ranks #17 of 912 in-state for T1019 (98th percentile; notably above typical state volume), indicating it is a major statewide participant for per-15-minute personal care services. For T1020 the provider ranks #36 of 354 (90th percentile; typical, unremarkable volume), showing strong but less exceptional standing on per-diem personal care relative to peers.

    For lower-volume home health and skilled codes the provider's statewide position is more modest: T1022 ranks #86 of 334 (74th percentile; typical, unremarkable volume), and T1030 ranks #77 of 207 (63th percentile; typical, unremarkable volume). These placements suggest the provider's contracted and per-diem nursing/home-health offerings exist but do not dominate the in-state competitive landscape.

    There are notable statistical outliers on smaller-revenue skilled-care codes: G0162 (skilled RN management, per 15 minutes) appears as an "extreme outlier," ranking #2 of 54 in-state (98th percentile) despite generating only $179.5K in revenue, and S9123 shows very low relative volume (12 claims, $1K revenue; rank #110 of 110, 0th percentile). This combination signals unusually high relative activity for a particular skilled-management code while overall skilled-care revenue remains tiny versus the provider's Medicaid book.

    From an operational and payer-risk perspective, the provider's dependence on T1019 (95.4% of Medicaid revenue, $730.6M) creates acute sensitivity to any Medicaid policy, rate, or audit changes affecting per-15-minute personal care billing. Combined with the lack of Medicare revenue, the organization has limited payer diversification, concentrating both revenue and operational risk within Medicaid personal care services.

    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.

    7 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…4,713,750$160$730.6M
    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…121,290$290$35.1M
    T1022Contracted home health agency services, all services provided under contract, per day1,010$280$277.5K
    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…2,300$80$179.5K
    T1030Nursing care, in the home, by registered nurse, per diem1,110$80$83.4K
    T2024Service assessment/plan of care development, waiver70$250$17K
    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)10$90$1K

    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

    7 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…17910108,820$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…3635012,660$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)1101101,520$250$1.5M
    T2024Service assessment/plan of care development, waiver59701,200$200$856.3K
    T1030Nursing care, in the home, by registered nurse, per diem77210450$120$728.3K
    T1022Contracted home health agency services, all services provided under contract, per day86330470$170$231.1K
    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…250130$80$31.5K

    Nearby Providers

    Other providers in the same ZIP code as S & A Unified Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Family Care, IncNYHome Health Agency$0$841M
    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
    Good Care Agency IncNYHome Health Agency$0$264.5M
    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
    S & A Unified Home Care, Inc. — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York