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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

M & Y Care, LLC (NPI 1790862407)

Field	Value
Entity Type	Organization
Organization	M & Y Care, LLC
Address	5001 Mayfield Rd Ste 105
City	Lyndhurst
State	OH
ZIP	44124
Taxonomy	Home Health Agency
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$55.5M
Medicare	$0

Key Findings

M & Y CARE, LLC is a Home Health Agency based in LYNDHURST, OH, with its NPI enumerated on 2006-11-01 (~20 years ago), indicating long-standing licensure/operation in the market. The tenure supports that the patterns seen in claims and revenue reflect an established operating footprint rather than a newly formed entrant.

This provider has no Medicare billing on file and reports $55.5M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation in the available claims data. Because Medicare activity is absent, national Medicare peer comparisons are not available for this entity and all competitive assessments below should be read in the context of Medicaid-only reporting.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 98.9% of the provider's total Medicaid revenue. Those top drivers are T1019 ($34.5M, 62.2% of Medicaid revenue), G0156 ($17M, 30.7%), and H2015 ($3.3M, 5.9%), showing that nearly all revenue is tied to a small set of personal-care and community-support service codes.

The code mix (T1019, G0156, H2015) indicates an operational focus on high-volume personal care and home-health aide style services delivered in community or home settings rather than episodic skilled Medicare home health. T1019 and G0156 are time-based direct care services (personal care services and home health/hospice aide services per 15 minutes), and H2015 reflects comprehensive community support services, so the business model is oriented toward sustained, routine direct care and community support rather than short-duration skilled procedures.

Competitive standing within the state is dominant for these Medicaid service lines: T1019 ranks #5 of 829 providers and is labeled an "extreme outlier" at the 100th percentile; G0156 ranks #7 of 482 providers and is an "extreme outlier" at the 99th percentile; H2015 ranks #1 of 17 providers and is an "extreme outlier" at the 100th percentile. These rankings and percentile labels position the provider as a major, high-volume supplier of personal care and community support services in Ohio relative to in-state peers.

Lower-revenue codes on the file provide insight into adjunct services rather than alternate revenue bases: T1001 (nursing assessment/evaluation) generated $289.6K (0.5% of Medicaid revenue) and ranks #10 of 500 providers (98th percentile); S5130 (homemaker service) generated $264.6K (0.5%) and ranks #6 of 20 providers (74th percentile); G0299 (direct RN skilled nursing in home) generated $59.9K (0.1%) and ranks #344 of 561 providers (39th percentile). These smaller, ancillary code volumes are consistent with a primary focus on direct-care aides and homemaker supports rather than high volumes of skilled nursing.

Claim counts for top codes are very large and indicate substantial operational scale and workforce requirements: T1019 shows 500.2K claims and G0156 shows 549.5K claims, while H2015 has 44.4K claims. The combination of very high claim volume and the time-based nature of these codes implies continuous, labor-intensive service delivery and the need for sizeable scheduling, training, and payroll capacity to sustain current volumes.

From a payer or contracting perspective, M & Y CARE, LLC should be treated as a major Medicaid personal-care/home-aide provider in Ohio with concentrated exposure to a small set of high-volume, time-based service codes (98.9% of Medicaid revenue tied to the top three). The absence of Medicare activity, high in-state ranks for T1019/G0156/H2015, and ~20 years of enrollment together suggest stability and market dominance in Medicaid personal-care services, but also a dependency on Medicaid-reimbursed personal/community support lines for nearly all revenue.

Medicaid: Complete Services Breakdown

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

6 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…	500,240	$70	$34.5M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	549,540	$30	$17M
H2015	Comprehensive community support services, per 15 minutes	44,440	$70	$3.3M
T1001	Nursing assessment / evaluation	9,650	$30	$289.6K
S5130	Homemaker service, nos; per 15 minutes	13,930	$20	$264.6K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1,930	$30	$59.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

Claims Volume vs. Ohio Distribution

M & Y Care, LLC — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

6 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…	5	830	20,350	$70	$3.1M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	7	480	27,490	$30	$2.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	344	560	3,370	$40	$543.8K
H2015	Comprehensive community support services, per 15 minutes	1	20	320	$160	$507.2K
S5130	Homemaker service, nos; per 15 minutes	6	20	5,310	$20	$262.1K
T1001	Nursing assessment / evaluation	10	500	490	$30	$45.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with M & Y Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M&y Care, LLC	MI	Home Health Agency	$0	$15.8M
Andrei Katychev	MI	Family Medicine Physician	$273.9K	$29.4K
Robert Aquino	MI	Internal Medicine Physician	$41.2K	$0

Nearby Providers

Other providers in the same ZIP code as M & Y Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harmony Home Care Skilled Services Inc.	OH	Home Health Agency	$0	$37.5M
Mr Homecare Of Cleveland Oh Inc	OH	Home Health Agency	$0	$34.6M
Cleveland Clinic Health System - East Region	OH	General Acute Care Hospital	$0	$32.8M
Bhc Services, Inc.	OH	Home Health Agency	$0	$21.1M
Shalom Adult Health Center,llc	OH	Adult Day Care Clinic/Center	$0	$8.9M
Robert Hostoffer	OH	Allergy & Immunology Physician	$3.5M	$0
Haig Tcheurekdjian	OH	Allergy & Immunology Physician	$2.9M	$0
Northern Ohio Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$1.3M	$0
Mayfield Heights City	OH	Ambulance	$256.2K	$518.3K
Justin Woodhouse	OH	MOHS-Micrographic Surgery Physician	$521.6K	$0

M & Y Care, LLC — Billing Profile & Reimbursement Data

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M & Y Care, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References