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    OpenPayerNPI Medicare & MedicaidX-treme Home Care, Inc.
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    X-treme Home Care, Inc. — Billing Profile & Reimbursement Data

    NPI 1558781559 · Bayside, NY · Voluntary or Charitable Agency

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    X-treme Home Care, Inc. is a voluntary or charitable agency provider located in Bayside, New York. This profile covers 0 Medicare and 4 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
    OrganizationX-treme Home Care, Inc.
    Address212-12 Northern Blvd.
    CityBayside
    StateNY
    ZIP11361
    TaxonomyVoluntary or Charitable Agency
    NPI EnumeratedApril 17, 2014

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

    Payer SourceTotal Paid
    Medicaid$534.5M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-only biller at scale: lifetime Medicare revenue is recorded as none while total Medicaid revenue is $534.5M, indicating the organization’s operations and reimbursement are almost entirely tied to state Medicaid programs rather than Medicare. Analysts should treat X-TREME HOME CARE, INC. as a single-payer Medicaid-focused entity for revenue and service-line analysis.

    Revenue is highly concentrated in a single service line: the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and T1019 alone represents $533.6M of the $534.5M total (3.7M claims, $143 avg paid/claim), or 99.8% of this provider's total Medicaid revenue. That extreme concentration means the provider’s financial profile is driven almost entirely by per-15-minute personal care service billing.

    The code mix points to a labor-intensive personal care/home-attendant model rather than medical skilled nursing or durable medical equipment services: T1019 (Personal care services, per 15 minutes) dominates the book of business, suggesting operations focused on recurring, time-based personal care visits and attendant care delivered in community or home settings. Ancillary codes such as T1022 (Contracted home health agency services, per day) and T1020 (Personal care services, per diem) are present but account for negligible revenue relative to T1019.

    Competitive standing on the flagship code is strong statewide: for T1019 the provider ranks #26 of 912 providers in-state (97th percentile) and is described as notably above typical state volume for this code, indicating X-TREME HOME CARE is a major regional provider of Medicaid personal care services. This scale for T1019 positions the provider well versus in-state peers on volume, even though it has no Medicare presence to benchmark nationally.

    Other billed codes are marginal contributors and reflect complementary or administrative service lines rather than alternate revenue engines: T1022 generated $772.4K across 6.1K claims (rank #9 of 334, 98th percentile, described as typical/unremarkable volume), T1020 generated $95.4K across 822 claims (rank #318 of 354, 10th percentile, described as typical/unremarkable volume), and 99199 generated $88.5K across 497 claims (rank #21 of 167, 88th percentile, described as typical/unremarkable volume). These amounts together confirm that non-T1019 codes do not materially diversify revenue.

    The provider’s dependence on a single code implies sensitivity to coding, eligibility, or reimbursement changes for T1019: because $533.6M (99.8% of Medicaid revenue) is tied to time-based personal care billing, policy or rate adjustments affecting T1019 would materially impact overall Medicaid revenue. Payer negotiations or state policy reviews that target personal care service reimbursement should be viewed as high-impact levers for this entity.

    X-TREME HOME CARE, INC. has a demonstrated operational tenure in the Medicaid market, with its NPI enumerated on 2014-04-17 (~12 years ago), indicating more than a decade of presence in the state Medicaid personal care space. That longevity combined with the provider’s high-volume standing for T1019 suggests sustained market participation rather than a recent entrant or transient operator.

    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.

    4 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…3,731,360$140$533.6M
    T1022Contracted home health agency services, all services provided under contract, per day6,130$130$772.4K
    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…820$120$95.4K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.500$180$88.5K

    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

    4 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…26910108,820$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…31835012,660$310$13.1M
    T1022Contracted home health agency services, all services provided under contract, per day9330470$170$231.1K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.2117080$20$68.2K

    Nearby Providers

    Other providers in the same ZIP code as X-treme Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    X-treme Care, LLCNYHome Health Agency$0$252.5M
    Abj Home Care Inc.NYHome Health Agency$0$45.5M
    Bayside LaboratoriesNYClinical Medical Laboratory$224.1K$4.7M
    Nyeeqasc,llcNYAmbulatory Surgical Clinic/Center$750.6K$2M
    Triantafillos FillosNYHematology & Oncology Physician$888.1K$563.8K
    Nodar JanasNYFamily Medicine Physician$1.2M$82.7K
    Omid KohaniNYCardiovascular Disease Physician$606.7K$438.3K
    William DukeNYGeriatric Medicine (Internal Medicine) Physician$649.6K$129.9K
    Adrianne MellosNYCardiovascular Disease Physician$375.7K$213.9K
    Robert MittmanNYAllergy & Immunology Physician$330.6K$229.1K

    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
    X-treme Home Care, Inc. — 2 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York