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.

Caring Professionals, Inc. (NPI 1750769345)

Field	Value
Entity Type	Organization
Organization	Caring Professionals, Inc.
Address	7020 Austin St
City	Forest Hills
State	NY
ZIP	11375
Taxonomy	Home Health Agency
NPI Enumerated	May 14, 2015

Payer Source	Total Paid
Medicaid	$391.3M
Medicare	$0

Key Findings

CARING PROFESSIONALS, INC. operates as a high-volume personal care/home health agency: its Medicaid billing is dominated by personal care services codes, primarily T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem). The code mix—heavy use of a per-15-minute personal care code alongside a smaller per-diem component—is consistent with an agency delivering time-based personal care visits rather than episodic medical procedures or skilled nursing bundles.

Medicaid revenue is highly concentrated: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1019 alone representing $386M or 98.6% of the $391.3M total. This extreme concentration means nearly all Medicaid receipts are driven by a single service definition, amplifying sensitivity to rate changes or policy edits affecting that code.

Volume and unit economics differ sharply between top codes: T1019 shows 2.7M claims at $145 avg paid/claim for $386M in revenue, while T1020 shows 16.2K claims at $330 avg paid/claim for $5.3M. The large claim count for T1019 paired with a modest per-claim payment underscores a business model built on many short, time-based service units rather than fewer high-dollar per-diem placements.

Payer mix is effectively single-payer Medicaid: there is no Medicare billing on file for this provider and all recorded federal revenue ($391.3M) comes from Medicaid. For analysts, this means payer-concentration risk is concentrated in state Medicaid policy and managed Medicaid contract terms rather than dual Medicare/Medicaid dynamics.

Competitive standing within the state is strong by some measures: T1019 ranks #44 of 912 providers in-state (95th percentile), which places the agency among larger in-state billers for that code; the comparative descriptor for that rank is "typical, unremarkable volume," indicating the system labels the placement as within expected ranges despite the high percentile. T1020 ranks #164 of 354 (54th percentile) and is also described as "typical, unremarkable volume," implying a middle-market position for the per-diem personal care line.

Operational and oversight implications flow from revenue concentration and service-unit structure: with $386M tied to 2.7M short-duration personal care claims (T1019), utilization management, time-capture practices, and authorization controls are likely the primary levers that would affect the provider's Medicaid revenue. Analysts and payers should prioritize review of time-based documentation, care plans, and authorization alignment for T1019-focused services.

The provider has an established operational history: NPI enumerated on 2015-05-14 (~11 years ago), indicating multi-year presence in the market to build these personal-care volumes. That tenure combined with concentrated Medicaid scale suggests the organization has operational systems geared specifically to high-volume personal care delivery rather than diversified Medicare or acute-care lines.

Medicaid: Complete Services Breakdown

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

2 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…	2,661,790	$150	$386M
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…	16,160	$330	$5.3M

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

Caring Professionals, Inc. — 1 of 2 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

2 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…	44	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…	164	350	12,660	$310	$13.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Acquisition Corp.	NY	Home Health Agency	$0	$1B
Caring Professionals, Inc	NY	Home Health Agency	$0	$951.9M
Infiniti Home Care Inc	NY	Home Health Agency	$0	$378.6M
New Millenium Ny, Inc	NY	Home Health Agency	$0	$214.6M
Bilinguals Inc.	NY	Early Intervention Provider Agency	$0	$103.6M
Infiniti Home Care, Inc Dba Continental Home Care	NY	Home Health Agency	$0	$59.3M
The Child Center Of Ny, Inc.	NY	Adolescent and Children Mental Health Clinic/Center	$0	$57.6M
Eva Homecare Agency, Inc.	NY	Home Health Agency	$0	$55.3M
Attentive Home Care, Inc	NY	Home Health Agency	$0	$31.4M
Safety 1st Homecare Inc	NY	Home Health Agency	$0	$28.3M

Caring Professionals, Inc. — Billing Profile & Reimbursement Data

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Caring Professionals, Inc. — Billing Profile & Reimbursement Data

Sign up for Caring Professionals, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References