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    OpenPayerNPI Medicare & MedicaidJs Home Care Agency Of Ny
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    Js Home Care Agency Of Ny — Billing Profile & Reimbursement Data

    NPI 1780921387 · Brooklyn, NY · Home Health Agency

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    Js Home Care Agency Of Ny is a home health agency provider located in Brooklyn, New York. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationJs Home Care Agency Of Ny
    Address4318 8th Ave
    CityBrooklyn
    StateNY
    ZIP11232
    TaxonomyHome Health Agency
    NPI EnumeratedJanuary 16, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$389.1M
    Medicare$0

    Key Findings

    JS HOME CARE AGENCY OF NY is effectively a single-payer Medicaid-focused home health agency: there is no Medicare billing on file while reported Medicaid revenue totals $389.1M, indicating Medicaid is the sole documented payer driving its reported operations. This concentration implies the agency’s financial footprint and utilization patterns should be interpreted in the context of state Medicaid policy and managed-care relationships rather than Medicare program dynamics.

    Revenue concentration is extremely high: the top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with T1019 alone contributing $380.2M (97.7% of Medicaid revenue). This indicates the agency’s business model is overwhelmingly built around the service described by T1019 (personal care services billed per 15 minutes) rather than a diversified mix of Medicaid service lines.

    The code mix and top revenue driver point to a labor- and visit-based personal care operation: T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem) together represent nearly all revenue, suggesting JS HOME CARE primarily provides in-home personal care attendants and supervised activities tied to individualized plans of treatment rather than a broad range of skilled home health nursing services.

    In-state competitive standing on the dominant code is typical for high-volume providers: T1019 revenue ranks #41 of 912 providers in New York, placing the agency in the 96th percentile for that code. While the dollar share is concentrated internally, the rank indicates the provider operates at a high but not unique scale compared with many other in-state personal care providers, consistent with a large-volume but not necessarily market-dominant position statewide.

    Other Medicaid service lines are negligible relative to personal care: T1020 contributes $8.6M (2.2% of Medicaid revenue) and T1022 contributes $263.7K (0.1% of Medicaid revenue), with the remaining listed nursing codes together accounting for immaterial sums. This pattern reinforces that skilled nursing or nursing assessment services (T1030, T1001) are not significant revenue drivers for this agency.

    Tenure is well-established: the provider’s NPI was enumerated on 2013-01-16 (~13 years ago), indicating over a decade of licensure/registration which aligns with the large cumulative Medicaid revenue figure and suggests operational persistence in the state market.

    The provider’s percentile rankings across the listed Medicaid codes are generally in the middle-to-high range: T1019 at the 96th percentile, T1020 at the 64th percentile, and T1022 at the 84th percentile. These rankings indicate the agency is a sizeable participant for its primary offering and a moderately active contractor for per-day home health agency services, but not uniformly at the very top across all service lines.

    Given the agency’s near-exclusive reliance on time-based personal care codes (T1019 and T1020), any payer or network evaluating this provider should consider capacity, staffing models, and authorization processes for high-volume personal care delivery rather than capabilities in skilled nursing or episodic home health care. The dataset suggests operations optimized for recurring personal care visits authorized under individualized plans of treatment.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…2,880,000$130$380.2M
    T1020Personal 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…30,470$280$8.6M
    T1022Contracted home health agency services, all services provided under contract, per day1,600$170$263.7K
    T1030Nursing care, in the home, by registered nurse, per diem400$90$34.2K
    T1001Nursing assessment / evaluation30$70$1.9K

    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.

    Full comparison — all codes billed, vs. New York median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…41910108,820$150$81.8M
    T1020Personal 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…12735012,660$310$13.1M
    T1030Nursing care, in the home, by registered nurse, per diem109210450$120$728.3K
    T1001Nursing assessment / evaluation92120150$130$514.1K
    T1022Contracted home health agency services, all services provided under contract, per day54330470$170$231.1K

    Nearby Providers

    Other providers in the same ZIP code as Js Home Care Agency Of Ny, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Assistcarehome Healthcare ServicesNYHome Health Agency$0$1.4B
    Platinum Home Health Care Inc.NYHome Health Agency$0$866M
    Human Care LLCNYHome Health Agency$0$839.5M
    New York Network Ipa IncNYExclusive Provider Organization$0$529.1M
    Ateres MordechaiNYEarly Intervention Provider Agency$0$66.5M
    Human Care LLC.NYHome Health Agency$0$59.9M
    Unicare C.d.c.NYHome Health Agency$0$26.2M
    Js Homecare Agency Of Ny, Inc.NYHome Health Agency$0$25M
    Postgraduate Center For Mental HealthNYCommunity/Behavioral Health Agency$0$23.6M
    Enrique GuillenNYGeneral Practice Dentistry$265.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New York Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Js Home Care Agency Of Ny — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York