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.

Americare, Inc. (NPI 1649363342)

Field	Value
Entity Type	Organization
Organization	Americare, Inc.
Address	2255 Coleman St
City	Brooklyn
State	NY
ZIP	11234
Taxonomy	Home Health Agency
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$686.1M
Medicare	$0

Key Findings

AMERICARE, INC. has no Medicare billing on file and reports $686.1M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid‑focused) operator based on the available claims data. This payer concentration shapes both its market exposure and the types of services it delivers to beneficiaries.

Revenue for AMERICARE is extremely concentrated in a handful of Medicaid service codes: the precomputed top three codes (T1019, T1020, T2024) account for 99.9% of the provider's total Medicaid revenue. In particular, T1019 represents 83.9% and T1020 15.9% of Medicaid revenue, indicating the business is overwhelmingly driven by a small set of personal‑care service lines.

The top revenue codes (T1019 and T1020) are time‑ and per‑diem personal care services, which signals that AMERICARE operates primarily as a large personal care/home attendant provider rather than a medically intensive home health agency. Ancillary codes for nursing (T1030, S9123), physical therapy (S9131, 97161), and telemonitoring (S9110) are present but generate only trivial revenue relative to the two dominant personal care codes (examples: S9131 $332.9K, T1030 $260.4K), so these clinical services appear to be secondary to its core personal‑care operations.

AMERICARE ranks strongly in state comparisons for its highest‑volume codes: T1019 is #29 of 912 providers (97th percentile) and T1020 is #8 of 354 providers (98th percentile), with T1020 explicitly flagged as an "extreme outlier, far above typical state volume." These ranks indicate the provider is a major, high‑volume participant in New York's Medicaid personal‑care market for these services.

Operational scale is reflected in raw claim counts and per‑claim payments: AMERICARE reported 3.3M claims for T1019 with $575.6M revenue and a $173 average paid/claim, and 328.2K claims for T1020 with $109.3M revenue and a $333 average paid/claim. The combination of very high claim volume on a time‑based code (T1019) and large per‑diem volume (T1020) suggests significant workforce deployment and scheduling/operations capacity to support continuous personal care delivery.

AMERICARE's NPI has been enumerated since 2006-10-02 (~20 years ago), indicating long tenure in the market that likely supported the accumulation of scale visible in its Medicaid billing. Longevity combined with high state percentile ranks for core codes suggests an established operational footprint rather than a recently expanded or transient provider.

The extreme revenue dependence on two personal‑care codes creates concentration risk: any material changes in Medicaid reimbursement policy, program rules for T1019/T1020, or eligibility for the waiver‑based service T2024 could disproportionately affect the provider's revenue stream. Given that non‑personal‑care codes collectively contribute negligible revenue, diversification of billed services appears limited in the current data.

Because AMERICARE reports no Medicare activity while reporting large Medicaid volume, its competitive positioning and payment risk are tied almost entirely to Medicaid program rules and budgets. Analysts and payers evaluating network strategy or contract negotiations should treat the provider as a Medicaid‑specialist whose bargaining position and utilization patterns will be driven by state Medicaid personal‑care demand and oversight.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 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…	3,326,960	$170	$575.6M
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…	328,160	$330	$109.3M
T2024	Service assessment/plan of care development, waiver	1,920	$210	$393.6K
S9131	Physical therapy; in the home, per diem	3,920	$90	$332.9K
T1030	Nursing care, in the home, by registered nurse, per diem	2,330	$110	$260.4K
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	1,070	$120	$129.6K
T1022	Contracted home health agency services, all services provided under contract, per day	800	$110	$85.2K
G0406	Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	40	$140	$5.5K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	90	$70	$5.5K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	40	$90	$3.9K

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

Americare, Inc. — 2 of 10 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

10 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…	29	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…	8	350	12,660	$310	$13.1M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	96	110	1,520	$250	$1.5M
S9131	Physical therapy; in the home, per diem	39	90	2,630	$100	$1.1M
T2024	Service assessment/plan of care development, waiver	26	70	1,200	$200	$856.3K
T1030	Nursing care, in the home, by registered nurse, per diem	58	210	450	$120	$728.3K
T1022	Contracted home health agency services, all services provided under contract, per day	109	330	470	$170	$231.1K
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	17	30	1,080	$50	$207.2K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	560	790	170	$70	$55.2K
G0406	Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	3	10	30	$20	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beth Israel Medical Center	NY	General Acute Care Hospital	$0	$278.9M
I & Y Senior Care, Inc.	NY	Home Health Agency	$0	$241.8M
Americare Certified Special Services, Inc.	NY	Home Health Agency	$0	$79.4M
24/7 Homecare Agency Of Ny, Inc	NY	Home Health Agency	$0	$78.7M
Americare, Inc.	NY	Home Health Agency	$0	$64.5M
Rishavena Home Health Care Agency Inc.	NY	Home Health Agency	$0	$30.4M
I & Y Senior Care, Inc.	NY	Home Health Agency	$0	$29.3M
Ep Home Care LLC	NY	Home Health Agency	$0	$22.8M
Amedix Laboratory	NY	Clinical Medical Laboratory	$8.9M	$237.5K
Brook Plaza Ambulatory Surgical Center, Inc.	NY	Ambulatory Surgical Clinic/Center	$3.5M	$5.4M

Americare, Inc. — Billing Profile & Reimbursement Data

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Americare, Inc. — 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