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    OpenPayerNPI Medicare & MedicaidHamaspik Care, Inc.
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    Hamaspik Care, Inc. — Billing Profile & Reimbursement Data

    NPI 1538668165 · Spring Valley, NY · Home Health Agency

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    Hamaspik Care, Inc. is a home health agency provider located in Spring Valley, 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
    OrganizationHamaspik Care, Inc.
    Address5 Perlman Dr
    CitySpring Valley
    StateNY
    ZIP10977
    TaxonomyHome Health Agency
    NPI EnumeratedFebruary 9, 2018

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

    Payer SourceTotal Paid
    Medicaid$274.1M
    Medicare$0

    Key Findings

    HAMASPIK CARE, INC. is effectively a Medicaid-focused home health agency: there is no Medicare billing on file while total Medicaid revenue is $274.1M, indicating the organization’s operations and payer relationships are concentrated almost exclusively in the Medicaid program. The provider’s NPI was enumerated on 2018-02-09 (~8 years ago), suggesting several years of billing history to build a Medicaid-centered business.

    Revenue concentration is extremely high: three Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with T1019 alone contributing $266.4M (97.2% of Medicaid revenue). This indicates the provider’s financial performance is overwhelmingly dependent on one service line — personal care services billed per 15 minutes.

    Service-line implications from the top codes point to a predominantly personal-care model rather than skilled home health care. The dominant code T1019 (personal care services, per 15 minutes) and the secondary T1020 (personal care services, per diem) together reflect operations focused on non-skilled personal assistance under individualized treatment plans, while relatively small volumes of codes like G0162 and T1001 show limited skilled nursing or assessment activity.

    Competitive standing within the state for the dominant code is modest when viewed by rank/percentile: T1019 activity places HAMASPIK CARE, INC. at rank #66 of 912 providers in-state (93rd percentile), which the source labels as a typical, unremarkable volume for that code despite the large absolute revenue share. For T1020 the provider ranks #143 of 354 (60th percentile), also characterized as typical. These ranks suggest the provider is a significant revenue generator due to its large volume of T1019 claims but not an extreme outlier in per-code market position.

    Payer mix is effectively single-payer: Medicare revenue is listed as none (no Medicare billing on file) while Medicaid revenue totals $274.1M. This imbalance implies the provider’s contractual, clinical, and compliance focus is likely geared toward Medicaid program rules, documentation conventions for personal care codes (T1019/T1020), and relationships with state Medicaid managed care or fee-for-service payers.

    Operational scale is visible in claims and average payments: T1019 shows 1.8M claims with $151 avg paid/claim generating $266.4M, while T1020 shows 24.4K claims at $307 avg paid/claim for $7.5M. The large difference in claim counts between T1019 and T1020 indicates the business model primarily bills time-based personal care in 15-minute increments rather than per-diem arrangements.

    While most secondary procedure codes are small contributors to revenue, the provider’s use of miscellaneous or contract codes (99199, T1022) and limited skilled-care codes (G0162, T1001) is consistent with a home/community personal care provider that occasionally documents evaluations or contracted services. These codes together make up a negligible share of the $274.1M Medicaid revenue, confirming the operational focus is not on skilled home health services.

    Given the heavy reliance on a single code (T1019) for 97.2% of Medicaid revenue, HAMASPIK CARE, INC. faces concentrated financial exposure to reimbursement changes, policy edits, or audit focus on that service definition and billing unit (per 15 minutes). From a payer or competitor perspective, any changes to coverage, rates, or utilization management for T1019 would disproportionately affect this provider’s revenue stream.

    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…1,764,380$150$266.4M
    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…24,400$310$7.5M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.330$330$108.6K
    T1022Contracted home health agency services, all services provided under contract, per day490$190$89.9K
    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…110$130$13.4K
    T1001Nursing assessment / evaluation50$100$4.7K
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.200$0$0

    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…66910108,820$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…14335012,660$310$13.1M
    T1001Nursing assessment / evaluation83120150$130$514.1K
    T1022Contracted home health agency services, all services provided under contract, per day158330470$170$231.1K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.3317080$20$68.2K
    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…2950130$80$31.5K
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.449880210$1$110

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marquis Home Care, LLCNYHome Health Agency$0$146.8M
    Refuah Health Center IncNYFederally Qualified Health Center (FQHC)$0$115.1M
    Yedei Chesed IncNYChild Intellectual and/or Developmental Disabilities Respite Care$0$25.5M
    Spring Hill Comm Ambulance CoNYAmbulance$719K$3.1M
    Vikram ShahNYInternal Medicine Physician$830.8K$131.3K
    Juan EspaillatNYGeneral Practice Dentistry$188.1K$245.9K
    Mitchell TrestmanNYPhysical Therapist$338.3K$0
    Jerrold SchwartzNYInternal Medicine Physician$51.6K$0

    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
    Hamaspik Care, Inc. — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York