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.

Better Choice Home Care, Inc. (NPI 1750781076)

Field	Value
Entity Type	Organization
Organization	Better Choice Home Care, Inc.
Address	7104 18th Ave
City	Brooklyn
State	NY
ZIP	11204
Taxonomy	Home Health Agency
NPI Enumerated	August 25, 2014

Payer Source	Total Paid
Medicaid	$276M
Medicare	$0

Key Findings

BETTER CHOICE HOME CARE, INC. is effectively a Medicaid-only home health operator: it has no Medicare billing on file and reports total Medicaid revenue of $276M, indicating its service footprint and payer reliance are overwhelmingly centered on Medicaid-funded personal care services. This single-payer concentration should be considered when assessing payer negotiations, risk exposure, and revenue sustainability.

Revenue is highly concentrated in a single service line: T1019 accounts for $267.4M and 96.9% of the provider’s total Medicaid revenue, per the precomputed top-3 share. This indicates the business model is almost entirely driven by the per-15-minute personal care services described by T1019 rather than a diversified set of home health or skilled nursing services.

The operational mix implied by the top codes signals a focus on ongoing personal care rather than traditional skilled home health care: T1019 (personal care services, per 15 minutes) plus T1020 (personal care services, per diem) together represent essentially all billed activity, while codes more associated with skilled nursing (T1030, T1001) generate negligible revenue. This suggests the agency operates primarily as a personal care/home attendant provider rather than a skilled nursing or therapy-focused home health agency.

Despite the very large absolute Medicaid revenue, the provider’s standing on the in-state code-level ranking is modest to typical: T1019 ranks #58 of 912 providers (94th percentile) which reflects relatively strong but not dominant volume for that code statewide; T1020 ranks #137 of 354 providers (61st percentile) indicating typical volume in per-diem personal care. Overall, the firm appears to be a meaningful but not top-tier market participant for its primary service in New York.

The mix of claim counts and average paid per claim highlights how revenue is structured: T1019 shows 2M claims at $136 avg paid/claim producing $267.4M, while T1020 has 27.4K claims at $307 avg paid/claim generating $8.4M. This pattern implies billing is driven by very high utilization of short-interval, per-15-minute personal care encounters rather than fewer high-dollar per-diem placements. Analysts should expect operational metrics (staffing hours, aide visits) to mirror that intensity.

The provider’s NPI has been enumerated since 2014-08-25 (~12 years ago), indicating a relatively mature presence in the market. This tenure, combined with substantial Medicaid revenue, suggests established referral and operational workflows for Medicaid personal care services rather than a newly entered or transient operation.

Smaller ancillary service lines are present but immaterial to revenue: T1022, T1030, and T1001 together contribute only a fractional share of total Medicaid revenue (T1022 $171.3K, T1030 $35.8K, T1001 $1.2K). The presence of these codes shows the provider bills for occasional contracted home health agency services and nursing visits, but these are not core revenue drivers and are unlikely to materially change financial profile or care model.

From a payer-management and network configuration perspective, the provider should be treated as a high-volume Medicaid personal care supplier whose performance and utilization metrics (visit frequency, minutes per claim, aide workforce capacity) will be the primary levers affecting costs. Given the lack of Medicare activity, Medicare-related quality or utilization measures will not be available for benchmarking this entity, so Medicaid-specific quality and utilization data will be more informative for contract decisions.

Medicaid: Complete Services Breakdown

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

5 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…	1,965,990	$140	$267.4M
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…	27,440	$310	$8.4M
T1022	Contracted home health agency services, all services provided under contract, per day	1,030	$170	$171.3K
T1030	Nursing care, in the home, by registered nurse, per diem	400	$90	$35.8K
T1001	Nursing assessment / evaluation	10	$90	$1.2K

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

Better Choice Home Care, Inc. — 0 of 5 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

5 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…	58	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…	137	350	12,660	$310	$13.1M
T1030	Nursing care, in the home, by registered nurse, per diem	108	210	450	$120	$728.3K
T1001	Nursing assessment / evaluation	114	120	150	$130	$514.1K
T1022	Contracted home health agency services, all services provided under contract, per day	85	330	470	$170	$231.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
People Care Incorporated	NY	Home Health Agency	$0	$522.7M
Dragon Home Care, LLC	NY	Home Health Agency	$0	$84.9M
Blue Line Home Care Cpap LLC	NY	Home Health Agency	$0	$78.4M
Blue Line Agency LLC	NY	Home Health Agency	$0	$73.1M
Angel Care, Inc.	NY	Home Health Agency	$0	$69.3M
Tower Home Care Inc.	NY	Personal Care Attendant	$0	$27.5M
Devoted Home Care, LLC	NY	Home Health Agency	$0	$26.3M
Right Start, Inc.	NY	Early Intervention Provider Agency	$0	$19.3M
Digestive Diseases Diagnostic & Treatment Center LLC	NY	Ambulatory Surgical Clinic/Center	$938.4K	$13M
Brooklyn Sc LLC	NY	Clinic/Center	$1.3M	$4.3M

Better Choice Home Care, Inc. — Billing Profile & Reimbursement Data

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Better Choice Home Care, 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