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.

Ropen Health Care Services Inc (NPI 1518106954)

Field	Value
Entity Type	Organization
Organization	Ropen Health Care Services Inc
Address	652 Suffolk Ave
City	Brentwood
State	NY
ZIP	11717
Taxonomy	Home Health Agency
NPI Enumerated	February 9, 2009

Payer Source	Total Paid
Medicaid	$27.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	67,950	$320	$21.5M
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…	26,930	$210	$5.7M

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

Ropen Health Care Services Inc — 0 of 2 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

2 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…	668	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…	59	350	12,660	$310	$13.1M

Nearby Providers

Other providers in the same ZIP code as Ropen Health Care Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoenix Houses Of Long Island, Inc.	NY	Substance Abuse Rehabilitation Facility	$0	$59.5M
Nys Office Of Mental Health	NY	Adult Mental Health Clinic/Center	$0	$28.6M
Long Island Ambulatory Surgery Center, LLC	NY	Ambulatory Surgical Clinic/Center	$6.2M	$3.9M
Raju Sarwal	NY	Ophthalmology Physician	$618.4K	$280K
Peter Mancuso	NY	Foot & Ankle Surgery Podiatrist	$474.6K	$366.3K
John Passarelli	NY	Ophthalmology Physician	$360K	$38.4K
Vincent Leddy	NY	Internal Medicine Physician	$130.7K	$196.2K
Neil Nichols	NY	Ophthalmology Physician	$122K	$34.9K
Michelle Di Guglielmo	NY	Anesthesiology Physician	$123.7K	$0
Skyler Rosen	NY	Clinical Social Worker	$118.3K	$0

Ropen Health Care Services Inc — Billing Profile & Reimbursement Data

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Ropen Health Care Services Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References