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.

Advantage Management Associates Inc. (NPI 1497014252)

Field	Value
Entity Type	Organization
Organization	Advantage Management Associates Inc.
Address	1515 Sheepshead Bay Rd
City	Brooklyn
State	NY
ZIP	11235
Taxonomy	Home Health Agency
NPI Enumerated	May 14, 2012

Payer Source	Total Paid
Medicaid	$335.9M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid operator, reporting Total Medicaid revenue of $335.9M. The absence of Medicare activity combined with large Medicaid receipts indicates the organization’s clinical and billing focus is squarely on state Medicaid personal care and home-based services rather than Medicare home health lines.

Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue. In particular, T1019 generates $320.6M (95.5% of Medicaid revenue), T1020 generates $15.1M (4.5%), and T1022 generates $107.6K (0.0%), showing extreme dependence on one dominant code.

The code mix (T1019, T1020, T1022) corresponds to personal care services billed per 15 minutes and per diem, plus contracted home health agency daily services, which suggests the operation primarily delivers non-skilled personal care/home aide services under Medicaid authorization. The predominance of T1019 and T1020 rather than Medicare home health codes reinforces that the business model centers on long-duration personal care rather than skilled intermittent nursing.

T1019 shows very large absolute volume (1.6M claims, $205 avg paid/claim) and ranks #75 of 912 in-state (92th percentile; typical, unremarkable volume), indicating the provider is among the higher-volume statewide billers for that specific personal care code but still within the typical range for providers using it. T1020 activity (48.4K claims, $313 avg paid/claim) ranks #85 of 354 (76th percentile; typical, unremarkable volume), and T1022 (549 claims, $196 avg paid/claim) ranks #145 of 334 (57th percentile; typical, unremarkable volume), together suggesting strong specialization in a common Medicaid service rather than outlier-level dominance.

Given the NPI enumeration date of 2012-05-14 (~14 years ago), the provider appears to be an established entity with multi-year presence in Medicaid billing; longevity aligns with the large cumulative Medicaid revenue ($335.9M) and sustained high-volume billing of T1019. This tenure increases the likelihood that the observed code concentration is a persistent operational pattern rather than a brief anomaly.

Despite the enormous dollar concentration in T1019, the available comparative labels characterize the provider’s volumes as "typical, unremarkable" for these codes; there are no supplied labels indicating "extreme outlier" status. That means while the provider’s business is highly concentrated, its activity falls within the expected distribution of in-state billing patterns for personal care services.

A small set of additional procedure codes appear with minimal revenue and do not materially affect the top-three concentration: 99199 (86 claims, $328 avg paid/claim, $28.2K revenue) and T1030 (12 claims, $100 avg paid/claim, $1.2K revenue). These supplementary entries are negligible against the $320.6M driven by T1019 and do not change the characterization of the provider as heavily reliant on Medicaid personal care codes.

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…	1,563,960	$210	$320.6M
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…	48,370	$310	$15.1M
T1022	Contracted home health agency services, all services provided under contract, per day	550	$200	$107.6K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	90	$330	$28.2K
T1030	Nursing care, in the home, by registered nurse, per diem	10	$100	$1.2K

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

Advantage Management Associates Inc. — 0 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
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…	75	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…	85	350	12,660	$310	$13.1M
T1030	Nursing care, in the home, by registered nurse, per diem	204	210	450	$120	$728.3K
T1022	Contracted home health agency services, all services provided under contract, per day	145	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	79	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as Advantage Management Associates Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Family Care, Inc	NY	Home Health Agency	$0	$841M
S & A Unified Home Care, Inc.	NY	Home Health Agency	$0	$766.2M
All American Homecare Agency Inc.	NY	Home Health Agency	$0	$758.7M
Attentive Home Care Agency Inc	NY	Home Health Agency	$0	$537.9M
Parkshore Home Health Care LLC	NY	Home Health Agency	$0	$300.4M
Good Care Agency Inc	NY	Home Health Agency	$0	$264.5M
Eagle Eye Fv, Inc	NY	Home Health Agency	$0	$245M
Friendly Home Care	NY	Home Health Agency	$0	$197.1M
All American Homecare Agency Inc.	NY	Home Health Agency	$0	$166M
Advance Home Care LLC	NY	Home Health Agency	$0	$148.6M

Advantage Management Associates Inc. — Billing Profile & Reimbursement Data

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Advantage Management 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