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.

Family Wellness Program, LLC (NPI 1750823381)

Field	Value
Entity Type	Organization
Organization	Family Wellness Program, LLC
Address	2162 Westchester Ave
City	Bronx
State	NY
ZIP	10462
Taxonomy	Home Health Agency
NPI Enumerated	November 14, 2016

Payer Source	Total Paid
Medicaid	$319.5M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and is effectively a single-payer Medicaid operator: Total Medicaid revenue on file is $319.5M and there is no recorded Medicare revenue, indicating reliance on Medicaid as the sole documented public payer. The provider's NPI has been enumerated since 2016-11-14 (~10 years ago), showing roughly a decade of recorded activity under this identifier.

Revenue is extremely concentrated in a single service line: the three precomputed top codes account for 100.0% of Medicaid revenue, with T1019 alone representing $318.9M or 99.8% of the provider's Medicaid receipts. That concentration means changes to reimbursement, audits, or policy for T1019 would have outsized impact on overall revenue.

The operation appears to be a high-volume personal care/home-assistance provider: T1019 (Personal care services, per 15 minutes) generated 2M claims at $157 avg paid/claim for $318.9M revenue, which aligns with a business model delivering frequent, time-based personal care visits rather than episodic skilled home-health services. The presence of T1022 (Contracted home health agency services, per day) at much lower scale (3.3K claims, $194 avg paid/claim, $649.5K revenue) suggests limited use of daily contracted HHA arrangements alongside the dominant personal care activity.

Competitive standing for the dominant code shows high placement statewide but is described as typical volume: T1019 ranks #57 of 912 providers in-state (94th percentile; typical, unremarkable volume for this code). This ranking places the provider well above the median in terms of T1019 volume, indicating it is a major statewide participant for personal care claims, even though the description attaches a "typical, unremarkable" label in the source data.

T1022 and 99199 are small contributors and show different competitive profiles: T1022 produced $649.5K (0.2% of Medicaid revenue) and ranks #23 of 334 providers in-state (93th percentile; typical, unremarkable volume for this code), signaling above-average use among a smaller peer set but negligible revenue impact. 99199 accounted for $12.9K (0.0% of Medicaid revenue) with 88 claims and ranks #77 of 167 providers in-state (54th percentile; typical, unremarkable volume for this code), confirming it is an incidental line of billing.

The volume metrics underline operational scale and throughput: delivering 2M claims for T1019 with an average paid per claim of $157 to produce $318.9M suggests high-frequency, low-unit-rate service delivery, characteristic of time-based personal care programs. By contrast, the 3.3K claims for T1022 and 88 claims for 99199 reflect negligible contribution to income and operational footprint relative to the T1019 activity.

From a payer-management and risk perspective, the business is highly exposed to policy or rate changes that affect T1019: because T1019 represents 99.8% of Medicaid revenue and the top three codes together equal 100.0% of Medicaid revenue, any changes to coverage rules, documentation requirements, or rates for these codes would materially affect overall reimbursement. This concentration also implies that competitive moves by other in-state providers ranked near the top of T1019 could meaningfully shift market share and revenue for this entity.

Medicaid: Complete Services Breakdown

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

3 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…	2,031,040	$160	$318.9M
T1022	Contracted home health agency services, all services provided under contract, per day	3,350	$190	$649.5K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	90	$150	$12.9K

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

Family Wellness Program, LLC — 0 of 3 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

3 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…	57	910	108,820	$150	$81.8M
T1022	Contracted home health agency services, all services provided under contract, per day	23	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	77	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as Family Wellness Program, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amazing Home Care Services LLC	NY	Home Health Agency	$0	$576.3M
Amazing Home Care Services, LLC	NY	Home Health Agency	$0	$255.9M
Intergen Health, LLC	NY	Home Health Agency	$0	$156.3M
R.a.i.n. Home Attendant Services, Inc.	NY	Home Health Agency	$0	$153.6M
Intergen Health, LLC	NY	Home Health Agency	$0	$142M
Med Star Surgical & Breathing Equipment Inc.	NY	Durable Medical Equipment & Medical Supplies	$0	$139.1M
Home Choice LLC	NY	Home Health Agency	$0	$43.9M
Prashanth Mannam	NY	Internal Medicine Physician	$227.6K	$1M
Natalya Rodionova	NY	Family Medicine Physician	$38.3K	$1M
Valeri Kazakov	NY	Internal Medicine Physician	$298.6K	$637.4K

Family Wellness Program, LLC — Billing Profile & Reimbursement Data

Sign up for Family Wellness Program, LLC — Billing Profile & Reimbursement Data policy alerts

Family Wellness Program, LLC — Billing Profile & Reimbursement Data

Sign up for Family Wellness Program, LLC — 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