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.

The Doral Investors Group, LLC Dba House Calls Home Care (NPI 1639473580)

Field	Value
Entity Type	Organization
Organization	The Doral Investors Group, LLC Dba House Calls Home Care
Address	2440 Fulton Street
City	Brooklyn
State	NY
ZIP	11233
Taxonomy	Home Health Agency
NPI Enumerated	January 7, 2011

Payer Source	Total Paid
Medicaid	$498M
Medicare	$0

Key Findings

THE DORAL INVESTORS GROUP, LLC DBA HOUSE CALLS HOME CARE has no Medicare billing on file and reports $498M in lifetime Medicaid revenue, making its public billing footprint effectively single‑payer and heavily dependent on state Medicaid programs. This concentration means payer negotiations, utilization patterns, and compliance exposure will be driven almost entirely by Medicaid rules and rates rather than Medicare policy.

Revenue concentration is extreme within the Medicaid portfolio: the precomputed top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1019 representing $435.8M (87.5% of Medicaid revenue), T1020 $62.1M (12.5%), and T1022 $118.6K (0.0%). This indicates revenue is overwhelmingly tied to a very narrow set of personal‑care and contracted home‑health daily service codes.

The provider’s code mix and descriptions (T1019 – personal care per 15 minutes; T1020 – personal care per diem; T1022 – contracted home health agency services, per day) point to an operation focused on non‑skilled personal care and contracted home‑health delivery rather than primarily skilled nursing or physician services. High claim counts for T1019 (2.7M claims at $160 avg paid/claim) and T1020 (188.7K claims at $329 avg paid/claim) show a labor‑intensive, high‑volume care model where scale and per‑unit reimbursement levels drive revenue.

Competitive standing by code is mixed: for T1019 the provider ranks #43 of 912 in‑state (95th percentile) and is classified as "typical, unremarkable volume," meaning it is among the larger billers for the per‑15‑minute personal care code but not an extreme outlier. For T1020 the provider ranks #22 of 354 in‑state (94th percentile) and is flagged as "notably above typical state volume," indicating a particularly strong position in per‑diem personal care relative to peers and a competitive advantage in that subsegment.

Secondary codes contribute essentially no revenue: T1022 is $118.6K (0.0% of Medicaid revenue) and ranks #111 of 334 (67th percentile; typical), while 99199 produced $38.2K over 144 claims and T1030/T1031 show claims but $0 avg paid/claim and $0 revenue. These small or zero‑paid items suggest administrative or ancillary uses of non‑core codes and confirm that financial performance is driven almost entirely by the two principal personal‑care codes.

The provider has an established presence, with its NPI enumerated on 2011‑01‑07 (~15 years ago), indicating long tenure in the market. This duration of enrollment aligns with the large accumulated Medicaid revenue and suggests established relationships with state Medicaid programs or managed care plans.

From an operational perspective, the combination of very large T1019 volume (2.7M claims at $160 avg paid/claim) and substantial T1020 per‑diem activity (188.7K claims at $329 avg paid/claim) implies a high‑throughput service delivery model that depends on efficient management of numerous short‑duration encounters and daily personal care visits. Payers and partners evaluating capacity or value‑based arrangements should expect cost and quality dynamics typical of high‑volume personal care agencies.

The absence of Medicare billing coupled with nearly exclusive Medicaid revenue ($498M) concentrates financial and regulatory risk on state Medicaid policies and rate changes; any shifts in state Medicaid coverage, reimbursement methodology, or utilization controls for personal care services could materially affect this provider’s revenue. Analysts should treat this entity as a Medicaid‑centric operator rather than a mixed‑payer home health agency when assessing market positioning and contracting strategy.

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…	2,723,880	$160	$435.8M
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…	188,660	$330	$62.1M
T1022	Contracted home health agency services, all services provided under contract, per day	770	$150	$118.6K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	140	$270	$38.2K
T1030	Nursing care, in the home, by registered nurse, per diem	130	$0	$0
T1031	Nursing care, in the home, by licensed practical nurse, per diem	130	$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.

Claims Volume vs. New York Distribution

The Doral Investors Group, LLC Dba House Calls Home Care — 1 of 4 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…	43	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…	22	350	12,660	$310	$13.1M
T1030	Nursing care, in the home, by registered nurse, per diem	147	210	450	$120	$728.3K
T1031	Nursing care, in the home, by licensed practical nurse, per diem	21	30	950	$70	$234.5K
T1022	Contracted home health agency services, all services provided under contract, per day	111	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	60	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as The Doral Investors Group, LLC Dba House Calls Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Icl Act Team Central Brooklyn	NY	Case Management Agency	$0	$121M
The Doral Investors Group LLC	NY	Home Health Agency	$0	$34.2M

The Doral Investors Group, LLC Dba House Calls Home Care — Billing Profile & Reimbursement Data

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The Doral Investors Group, LLC Dba House Calls 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