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 Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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 Jersey (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.

Heart To Heart Health Care Services, LLC (NPI 1548431570)

Field	Value
Entity Type	Organization
Organization	Heart To Heart Health Care Services, LLC
Address	576 Central Ave
City	East Orange
State	NJ
ZIP	07018
Taxonomy	Home Health Agency
NPI Enumerated	March 18, 2008

Payer Source	Total Paid
Medicaid	$149.5M
Medicare	$0

Key Findings

HEART TO HEART HEALTH CARE SERVICES, LLC is effectively a Medicaid-focused operator: it has no Medicare billing on file and reports $149.5M in total Medicaid revenue, indicating the organization’s revenue base is concentrated entirely in Medicaid-funded services. The provider’s NPI was enumerated 2008-03-18 (~18 years ago), showing long-standing participation in the Medicaid program rather than recent market entry.

Revenue concentration is extreme within Medicaid: H2016, T1019, and H2021 together account for 99.0% of the provider’s total Medicaid revenue. In particular, H2016 alone generates $131.7M (88.1% of Medicaid revenue), creating heavy dependence on that single per-diem community support payment stream.

The service mix implied by the top codes points to community-based behavioral health and long-duration support services rather than traditional skilled home health care. H2016 (Comprehensive community support services, per diem) as the dominant code suggests the provider operates large-scale, ongoing community support programs, while T1019 (Personal care services, per 15 minutes) and H2021 (Community-based wrap-around services, per 15 minutes) reflect a portfolio of personal care and wrap-around supports delivered in non-institutional settings.

Despite the concentration, the provider’s positional standing in the state is mixed by code: for H2016 it ranks #15 of 206 providers in-state (93th percentile), indicating a relatively large presence for that per-diem community support service, while T1019 ranks #50 of 276 (82th percentile) and H2021 ranks #48 of 194 (76th percentile), each labeled as 'typical, unremarkable volume for this code.' These rank/percentile placements suggest the firm is a major participant for its core per-diem service but otherwise a typical competitor on incremental service lines.

Operational risk and strategic sensitivity are concentrated around H2016 reimbursement: because H2016 contributes $131.7M (88.1% of Medicaid revenue), any policy, rate, or utilization changes affecting comprehensive community support services could materially affect overall revenue. The top-3 concentration (99.0%) amplifies this exposure, making payer policy shifts or audit attention to that code a primary business risk.

Although T1019 contributes a meaningful secondary revenue stream ($14.1M, 9.4% of Medicaid revenue), it is characterized as 'typical, unremarkable volume for this code' and ranks #50 of 276 in-state (82th percentile), implying the provider’s personal care delivery is sizable but not atypical compared with peers. This suggests capacity and billing scale for personal care services, but not a dominant statewide position in that code.

Smaller service lines generate negligible revenue relative to the core codes: H2021 brings in $2.3M (1.5%) and T2021 $1.5M (1.0%), both described as 'typical, unremarkable volume for this code,' while H0004 behavioral health counseling is essentially immaterial at $16.6K (0.0% of Medicaid revenue) and ranks #51 of 64 (21th percentile). This pattern implies the provider focuses billing around bundled community support and personal care rather than time-billed counseling or habilitation.

The provider’s long tenure (NPI enumerated 2008-03-18, ~18 years) combined with a concentrated, Medicaid-centered revenue model suggests an established, specialized operator in community support services. Analysts should treat HEART TO HEART as a single-payer (Medicaid) specialist with a dominant per-diem community support product line and corresponding sensitivity to Medicaid program changes.

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
H2016	Comprehensive community support services, per diem	251,750	$520	$131.7M
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…	196,030	$70	$14.1M
H2021	Community-based wrap-around services, per 15 minutes	11,660	$200	$2.3M
T2021	Day habilitation, waiver; per 15 minutes	5,940	$250	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	220	$70	$16.6K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Heart To Heart Health Care Services, LLC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	15	210	23,310	$490	$41.9M
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…	50	280	31,400	$90	$15.4M
T2021	Day habilitation, waiver; per 15 minutes	135	220	14,500	$170	$7.7M
H2021	Community-based wrap-around services, per 15 minutes	48	190	3,010	$260	$3.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	51	60	1,570	$70	$253.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eoh Acquisition Group, LLC	NJ	General Acute Care Hospital	$0	$41.2M
2nd Home East Orange LLC	NJ	Adult Day Care Clinic/Center	$0	$26.1M
Henry Hamilton	NJ	Addiction (Substance Use Disorder) Counselor	$0	$25.2M
Community Psychiatric Institute	NJ	Community/Behavioral Health Agency	$0	$19.6M
Northeastern Professional Nurses Registry Inc	NJ	Home Health Agency	$0	$12.3M
Kwenyan Professional Health Services, LLC	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.1M
Divine Healthcare Services, LLC.	NJ	Home Health Agency	$0	$11.7M
The Heart Center Of The Oranges	NJ	Cardiovascular Disease Physician	$0	$10.8M
Advantage Health And Social Services LLC	NJ	Home Health Agency	$0	$8.1M
Darshi Sunderam	NJ	Internal Medicine Physician	$152.6K	$1.1M

Heart To Heart Health Care Services, LLC — Billing Profile & Reimbursement Data

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Heart To Heart Health Care Services, LLC — 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