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.

Premier Home Health Care Services Inc (NPI 1720151046)

Field	Value
Entity Type	Organization
Organization	Premier Home Health Care Services Inc
Address	42 Broadway
City	New York
State	NY
ZIP	10004
Taxonomy	Home Health Agency
NPI Enumerated	November 16, 2006

Payer Source	Total Paid
Medicaid	$1.5B
Medicare	$0

Key Findings

PREMIER HOME HEALTH CARE SERVICES INC is effectively a single-payer Medicaid operator: there is no Medicare billing on file while lifetime Medicaid revenue is $1.48B, indicating the organization’s entire documented payer footprint in our data is dominated by state Medicaid programs. This suggests their business model and contracts are focused on Medicaid-managed care and waiver programs rather than Medicare home health services.

Revenue concentration is extremely high: the top 3 Medicaid codes by revenue account for 99.4% of the provider’s total Medicaid revenue, with T1019 alone contributing $1.3B (88.2% of Medicaid revenue). This indicates that personal care services billed per 15 minutes (T1019) are the primary revenue driver and that a very narrow set of service lines represents the vast majority of payment.

The provider’s code mix points to a large-scale personal care and attendant service operation: T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem) together comprise the overwhelming share of revenue, supplemented by attendant care services like S5125. This profile is consistent with an agency focused on long-duration in-home personal care and attendant support rather than skilled nursing or therapy-dominant home health.

Competitive standing within New York for these Medicaid codes is dominant on several measures: PREMIER ranks #6 of 912 providers state-wide for T1019 (99th percentile, labeled an "extreme outlier") and #2 of 354 for T1020 (100th percentile, "extreme outlier"). Those rankings indicate the provider is among the largest in-state billers for personal care services and operates at volumes far above typical peers.

Several secondary codes show typical-to-unremarkable volumes relative to peers: S5125 (attendant care; per 15 minutes) ranks #4 of 61 providers (95th percentile) and S5130 (homemaker service) ranks #2 of 36 providers (97th percentile), both described as typical or unremarkable volume despite contributing materially less revenue. This pattern suggests a dominant focus on a few high-volume personal care CPTs while maintaining customary participation in adjacent service lines.

Tenure is long-standing: the NPI was enumerated around 2006-11-16 (~20 years ago), indicating the provider has been active for approximately two decades. That longevity supports the development of the deep Medicaid billing footprint and high-volume state standing observed in the claims data.

Specific codes show notable state-level extremity beyond typical volumes: the T1019 and T1020 entries are labeled "extreme outlier" versus in-state peers, and the provider also ranks #1 of 8 for code 99082 (provider travel) which is labeled "notably above typical state volume." These labels reinforce that PREMIER’s activity in particular service lines is unusually large compared with the broader New York provider population.

Medicaid: Complete Services Breakdown

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

11 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…	7,245,700	$180	$1.3B
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…	472,580	$300	$141.8M
S5125	Attendant care services; per 15 minutes	136,760	$180	$23.9M
S5130	Homemaker service, nos; per 15 minutes	48,740	$100	$4.6M
S5126	Attendant care services; per diem	6,510	$300	$1.9M
T2024	Service assessment/plan of care development, waiver	2,980	$310	$915.2K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	10,960	$70	$810.7K
T1022	Contracted home health agency services, all services provided under contract, per day	1,230	$280	$340K
T1030	Nursing care, in the home, by registered nurse, per diem	800	$90	$71.5K
99082	The provider travels to facilitate patient care in a way not normally required, such as accompanying a patient in an ambulance or medical flight.	1,380	$50	$62.2K

Showing 1–10 of 11

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

Premier Home Health Care Services Inc — 4 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5126	Attendant care services; per diem	5	20	2,660	$80	$114M
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…	6	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…	2	350	12,660	$310	$13.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	3	10	350	$50	$7.4M
S5130	Homemaker service, nos; per 15 minutes	2	40	1,150	$60	$6.6M
S5125	Attendant care services; per 15 minutes	4	60	4,640	$100	$5.7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	10	50	930	$160	$1.4M
T2024	Service assessment/plan of care development, waiver	18	70	1,200	$200	$856.3K
T1030	Nursing care, in the home, by registered nurse, per diem	89	210	450	$120	$728.3K
T1022	Contracted home health agency services, all services provided under contract, per day	71	330	470	$170	$231.1K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gotham Per Diem, Inc	NY	Home Health Agency	$0	$55.6M

Premier Home Health Care Services Inc — Billing Profile & Reimbursement Data

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Premier Home Health Care Services 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