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.

Nae Edison LLC (NPI 1780816991)

Field	Value
Entity Type	Organization
Organization	Nae Edison LLC
Address	946 Mcdonald Ave
City	Brooklyn
State	NY
ZIP	11218
Taxonomy	Home Health Agency
NPI Enumerated	August 20, 2009

Payer Source	Total Paid
Medicaid	$1.1B
Medicare	$0

Key Findings

NAE EDISON LLC is effectively a single-payer Medicaid provider with no Medicare billing on file; lifetime Medicare revenue is reported as none while lifetime Medicaid revenue totals $1.11B, indicating the organization’s operations and reimbursement footprint are overwhelmingly Medicaid-focused. This payer concentration implies its financial viability and growth are tied to Medicaid policy and managed care contracting in New York rather than Medicare fee-for-service dynamics.

Revenue is extremely concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 99.8% of the provider’s total Medicaid revenue, signaling that virtually all billings derive from a narrow set of personal care and per-diem home health services. Such concentration suggests the organization’s service-line strategy is specialized rather than broadly diversified across home health service categories.

T1019 is by far the dominant revenue driver, accounting for $988.4M and 89.4% of this provider’s Medicaid revenue with 6.5M claims at an average paid/claim of $151. The volume and dollar concentration on T1019 (personal care services, per 15 minutes) indicate the agency operates at very high scale in time-based personal care delivery, likely managing large numbers of long-duration attendants or aides delivering minute-based personal care in community settings.

T1020 provides the second major revenue stream with $113.5M (10.3% of Medicaid revenue) from 340.9K claims at an average paid/claim of $333, reflecting substantial per-diem personal care activity. Together with T1019, the prominence of both minute-based and per-diem personal care codes shows the provider’s business model mixes high-frequency, short-unit visits and daily contracted care, consistent with a large personal care/home attendant operation.

Competitively, NAE EDISON LLC ranks as an extreme outlier in-state for its top codes: T1019 ranks #8 of 912 providers (99th percentile) and T1020 ranks #4 of 354 providers (99th percentile), indicating the agency is a dominant statewide player for these personal care services and operates far above typical state volumes. Lower-ranked codes such as T1022, T1030, and S9123 fall in more typical percentile ranges (94th, 80th, 83rd respectively), showing that outside its core personal care lines the provider’s activity is less exceptional.

The provider’s NPI was enumerated on 2009-08-20 (~17 years ago), indicating long tenure in the market. That extended operational history combined with extreme-volume positions on primary personal care codes suggests an established, scaled provider organization with sustained focus on Medicaid personal care services.

Other Medicaid codes together contribute only trivial shares of revenue: examples include T1022 ($741.1K), T1030 ($735.5K), and S9123 ($632.3K), each representing roughly 0.1% of total Medicaid revenue. These small contributions reinforce that the provider’s economic exposure and operational emphasis are concentrated on T1019 and T1020 rather than a broad suite of skilled nursing or ancillary home health services.

Given the code mix (dominant T1019 and T1020) and high claim volumes, the provider’s primary service-line implication is large-scale delivery of personal care and attendant services (time-based and per-diem), rather than a clinical skilled-nursing-focused home health agency. Analysts and payers evaluating network management, rate-setting, or utilization reviews should treat NAE EDISON LLC as a high-volume personal care supplier in New York Medicaid programs.

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…	6,545,380	$150	$988.4M
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…	340,870	$330	$113.5M
T1022	Contracted home health agency services, all services provided under contract, per day	3,450	$220	$741.1K
T1030	Nursing care, in the home, by registered nurse, per diem	5,530	$130	$735.5K
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)	13,170	$50	$632.3K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1,570	$240	$374.6K
S5125	Attendant care services; per 15 minutes	2,500	$130	$322.5K
T2024	Service assessment/plan of care development, waiver	1,320	$180	$230.7K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	1,290	$80	$104.5K
T1001	Nursing assessment / evaluation	340	$180	$60.9K

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

Nae Edison LLC — 3 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…	8	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…	4	350	12,660	$310	$13.1M
S5125	Attendant care services; per 15 minutes	38	60	4,640	$100	$5.7M
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)	19	110	1,520	$250	$1.5M
T2024	Service assessment/plan of care development, waiver	31	70	1,200	$200	$856.3K
T1030	Nursing care, in the home, by registered nurse, per diem	42	210	450	$120	$728.3K
T1001	Nursing assessment / evaluation	48	120	150	$130	$514.1K
T1022	Contracted home health agency services, all services provided under contract, per day	20	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	6	170	80	$20	$68.2K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	6	50	130	$80	$31.5K

Nearby Providers

Other providers in the same ZIP code as Nae Edison LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Astra Home Care	NY	Home Health Agency	$0	$608.7M
True Family Care Services, LLC	NY	Home Health Agency	$0	$412.4M
Tradition Choice	NY	Home Health Agency	$0	$207.9M
Asc Of New York, LLC	NY	Home Health Agency	$0	$111M
Great Direct Care, Inc.	NY	Home Health Agency	$0	$109M
Advanced Home Care Services, Inc.	NY	Home Health Agency	$0	$99.3M
New Solution Home Care Inc	NY	Clinic/Center	$0	$83.9M
Nurturing Direct Homecare, Inc	NY	Home Health Agency	$0	$82.1M
Yeled V'yalda Early Childhood Center Inc.	NY	Early Intervention Provider Agency	$0	$70M
Nae Edison LLC	NY	Home Health Agency	$0	$64.9M

Nae Edison LLC — 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