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.

Astra Home Care (NPI 1518259035)

Field	Value
Entity Type	Organization
Organization	Astra Home Care
Address	117 Church Ave
City	Brooklyn
State	NY
ZIP	11218
Taxonomy	Home Health Agency
NPI Enumerated	May 3, 2011

Payer Source	Total Paid
Medicaid	$608.7M
Medicare	$0

Key Findings

ASTRA HOME CARE is effectively a Medicaid-only operator: there is no Medicare billing on file and the provider reports $608.7M in lifetime Medicaid revenue. This payer mix indicates the organization’s scale and reimbursement exposure are concentrated entirely in the Medicaid market rather than split between Medicare and Medicaid.

Revenue is highly concentrated across a very small set of service codes — the precomputed top three Medicaid codes account for 99.7% of this provider’s total Medicaid revenue. That concentration means changes in reimbursement policy, utilization review, or authorization practices for those specific codes could have outsized effects on overall revenue.

The code mix (dominated by T1019 and T1020) indicates the business is primarily organized around personal care and attendant/home-maker style services rather than skilled, Medicare-funded home health care. The prominence of time-based personal care codes suggests operations are likely structured for high-volume, scheduled caregiver visits and attendant care delivery rather than episodic skilled nursing or therapy.

T1019 is the single largest revenue driver: 3.3M claims, $164 avg paid/claim and $538.5M in revenue, which represents 88.5% of this provider’s Medicaid revenue. The provider ranks #30 of 912 in-state (97th percentile) for T1019, a placement described as notably above typical state volume, marking ASTRA as a very large statewide player for this per-15-minute personal care service.

T1020 is the next-largest driver with 196.3K claims, $322 avg paid/claim and $63.2M in revenue (10.4% of the provider’s Medicaid revenue). ASTRA ranks #19 of 354 in-state (95th percentile) on T1020, again characterized as notably above typical state volume, which underscores the firm’s strong presence in per-diem personal care reimbursement as well.

S9124 (nursing care in the home by LPN) is a much smaller contributor at 6.8K claims, $758 avg paid/claim and $5.1M revenue (0.8% of Medicaid revenue), where the provider ranks #14 of 45 in-state (70th percentile) — a typical, unremarkable volume relative to specialized nursing providers. Other minor Medicaid codes reported (S5125: 9.3K claims/$1.2M; S5130: 6K claims/$675.3K; T1030: 43 claims/$4K) together represent trace shares of revenue and suggest limited diversification beyond personal care services.

From a competitive standpoint, ASTRA appears to be a dominant/high-volume provider in New York for personal care services: its 97th and 95th percentile ranks on T1019 and T1020 signal market-leading scale for those codes. At the same time, its modest percentile on nursing-in-home codes indicates it is less prominent among specialized home nursing providers, positioning ASTRA as a large personal-care operator rather than a broad-spectrum home-health leader.

The provider has an established tenure — NPI enumerated on 2011-05-03 (~15 years ago) — which, combined with the concentrated revenue mix, suggests an operational model refined around high-volume Medicaid personal care delivery. That maturity plus narrow code dependence implies the organization’s operational priorities are likely staffing capacity for caregiver shifts and payer relationships focused on Medicaid personal care authorizations and rate negotiations.

Medicaid: Complete Services Breakdown

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

6 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…	3,283,670	$160	$538.5M
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…	196,320	$320	$63.2M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	6,790	$760	$5.1M
S5125	Attendant care services; per 15 minutes	9,300	$120	$1.2M
S5130	Homemaker service, nos; per 15 minutes	5,980	$110	$675.3K
T1030	Nursing care, in the home, by registered nurse, per diem	40	$90	$4K

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

Astra Home Care — 1 of 6 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

6 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…	30	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…	19	350	12,660	$310	$13.1M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	14	50	1,510	$630	$9M
S5130	Homemaker service, nos; per 15 minutes	6	40	1,150	$60	$6.6M
S5125	Attendant care services; per 15 minutes	21	60	4,640	$100	$5.7M
T1030	Nursing care, in the home, by registered nurse, per diem	181	210	450	$120	$728.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nae Edison LLC	NY	Home Health Agency	$0	$1.1B
True Family Care Services, LLC	NY	Home Health Agency	$0	$412.4M
Tradition Choice	NY	Home Health Agency	$0	$207.9M
Asc Of New York, LLC	NY	Home Health Agency	$0	$111M
Great Direct Care, Inc.	NY	Home Health Agency	$0	$109M
Advanced Home Care Services, Inc.	NY	Home Health Agency	$0	$99.3M
New Solution Home Care Inc	NY	Clinic/Center	$0	$83.9M
Nurturing Direct Homecare, Inc	NY	Home Health Agency	$0	$82.1M
Yeled V'yalda Early Childhood Center Inc.	NY	Early Intervention Provider Agency	$0	$70M
Nae Edison LLC	NY	Home Health Agency	$0	$64.9M

Astra Home Care — Billing Profile & Reimbursement Data

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Astra Home Care — 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