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    OpenPayerNPI Medicare & MedicaidTri-med Home Care Services, Inc.
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    Tri-med Home Care Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1619224029 · Hewlett, NY · Home Health Agency

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    Tri-med Home Care Services, Inc. is a home health agency provider located in Hewlett, 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
    OrganizationTri-med Home Care Services, Inc.
    Address49 Piermont Ave
    CityHewlett
    StateNY
    ZIP11557
    TaxonomyHome Health Agency
    NPI EnumeratedAugust 6, 2012

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

    Payer SourceTotal Paid
    Medicaid$286M
    Medicare$0

    Key Findings

    TRI-MED HOME CARE SERVICES, INC. is effectively a single-payer Medicaid operator: there is no Medicare billing on file while total Medicaid revenue is $286M, indicating the organization’s entire reported lifetime government revenue derives from Medicaid contracts and fee-for-service activity. This payer concentration implies the provider’s business model and cash flow are highly dependent on Medicaid program policies and reimbursement trends.

    Revenue concentration is extreme: the top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with T1019 alone representing $237.7M (83.1% of Medicaid revenue). That dominance means the provider’s financial performance is tightly linked to utilization and pricing for a single service category—personal care services billed per 15 minutes.

    The code mix indicates this is primarily a personal care/home attendant operation rather than a clinical home-health agency focused on skilled nursing or therapy. T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem) together drive virtually all revenue ($237.7M and $47.9M respectively), signaling the business delivers non-skilled personal assistance and daily care under individualized treatment plans. The much smaller T1022 and T1030 lines suggest limited contracted agency or RN per diem activity relative to personal care.

    Competitive standing in-state is mixed by code: for T1019 the provider ranks #85 of 912 (91st percentile) which the data labels as typical, unremarkable volume for that code, showing it is not among the top volume leaders statewide despite very large absolute dollars. By contrast, for T1020 the provider ranks #28 of 354 (92nd percentile) and is characterized as notably above typical state volume, indicating stronger market presence on per-diem personal care services than on the per-15-minute variant.

    Tenure and market presence: the provider’s NPI was enumerated on 2012-08-06 (~14 years ago), so TRI-MED has more than a decade of enrollment history in the public payer environment. That length of operation, combined with substantial Medicaid revenue ($286M), suggests established contracting and referral relationships within Medicaid-managed care or fee-for-service networks in New York.

    The profile shows operational specialization rather than service breadth: with T1019 and T1020 accounting for nearly all revenue (83.1% and 16.8% respectively) and T1022/T1030 contributing only marginal shares, the organization appears focused on delivering personal care rather than a broad suite of home health clinical services. This concentration could make the provider sensitive to rate changes, utilization edits, or policy shifts that affect personal care codes.

    Using the plain-English statistical descriptors, T1019’s standing is “typical, unremarkable volume” despite its large revenue share, while T1020 is “notably above typical state volume.” These labels indicate that although TRI-MED bills an outsized amount of dollars for T1019, many other New York providers also bill that code at scale; the company’s relative strength is more evident on per-diem personal care (T1020).

    Operational risk and strategic opportunity are both apparent: the extreme reliance on two personal care codes creates vulnerability to programmatic changes but also suggests an area of operational expertise that could be leveraged—either by expanding per-diem services where the provider already ranks highly or by diversifying into other reimbursable home health services to reduce revenue concentration.

    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…1,389,950$170$237.7M
    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…157,580$300$47.9M
    T1022Contracted home health agency services, all services provided under contract, per day1,390$260$358.7K
    T1030Nursing care, in the home, by registered nurse, per diem120$90$10.6K

    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…85910108,820$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…2835012,660$310$13.1M
    T1030Nursing care, in the home, by registered nurse, per diem149210450$120$728.3K
    T1022Contracted home health agency services, all services provided under contract, per day60330470$170$231.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-med Staffing, Inc.NYHome Health Agency$0$180.3M
    David CohenNYDermatology Physician$352K$8.4M
    Sergio SokolNYCardiovascular Disease Physician$1.8M$5.7M
    Jordan BrodskyNYRheumatology Physician$2.4M$440
    Michael SingerNYDiagnostic Radiology Physician$1.2M$0
    Rana MongrooNYRheumatology Physician$954.4K$0
    Benjamin LevineNYRheumatology Physician$933.1K$330
    Tobin AbrahamNYRheumatology Physician$842.8K$160
    Asaf KleinNYRheumatology Physician$826.7K$13.2K
    Sheldon PikeNYUrology Physician$327.7K$198.6K

    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
    Tri-med Home Care Services, Inc. — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York