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    OpenPayerNPI Medicare & MedicaidHome Family Care, Inc
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    Home Family Care, Inc — Billing Profile & Reimbursement Data

    NPI 1801060363 · Brooklyn, NY · Home Health Agency

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    Home Family Care, Inc is a home health agency provider located in Brooklyn, New York. This profile covers 0 Medicare and 6 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
    OrganizationHome Family Care, Inc
    Address3051 Brighton3rd Street
    CityBrooklyn
    StateNY
    ZIP11235
    TaxonomyHome Health Agency
    NPI EnumeratedApril 16, 2008

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

    Payer SourceTotal Paid
    Medicaid$841M
    Medicare$0

    Key Findings

    HOME FAMILY CARE, INC is effectively a Medicaid-only billing entity: there is no Medicare billing on file and the provider reports $841M in lifetime Medicaid revenue, indicating its operational and revenue scale is concentrated entirely in the Medicaid program. This single-payer orientation should be treated as a core characteristic when comparing payer mix or forecasting revenue sensitivity to Medicaid policy changes.

    Revenue is extremely concentrated in a narrow set of service codes: the precomputed top three Medicaid codes account for 100.0% of the provider's total Medicaid revenue. That degree of concentration means changes to coverage, rates, or utilization rules for these specific codes would materially affect the provider's overall revenue.

    T1019 is the dominant revenue driver and defines the provider's operating footprint: with 5.2M claims, $148 avg paid/claim, and $774.2M revenue (92.1% of this provider's total Medicaid revenue), T1019 (personal care services, per 15 minutes) accounts for the vast majority of billed Medicaid dollars and ranks #15 of 912 providers in-state (98th percentile, notably above typical state volume). This profile indicates a heavy emphasis on time-based personal care aide services rather than episodic skilled-care billing.

    T1020 is a meaningful secondary revenue stream complementing T1019: the provider reported 209K claims, $315 avg paid/claim, and $65.8M revenue (7.8% of total Medicaid revenue) for T1020 (personal care services, per diem), and it ranks #17 of 354 providers in-state (95th percentile, notably above typical state volume). The presence of both per-15-minute and per-diem personal care billing suggests the agency delivers a mix of short-duration and day-rate personal care arrangements to Medicaid beneficiaries.

    T1022 is present at very small scale but shows typical in-state placement among peers: with 6.6K claims, $121 avg paid/claim, and $802.1K revenue (0.1% of total Medicaid revenue), T1022 (contracted home health agency services, per day) ranks #8 of 334 providers in-state (98th percentile) but is described as typical, unremarkable volume for this code. This suggests contracted agency/day-rate services exist in the mix but do not contribute materially to overall revenue.

    The code mix and reimbursement profile imply a service-line focus on personal care rather than Medicare-style skilled home health: the leading codes are personal care services (T1019, T1020) rather than per-visit skilled nursing codes, which aligns with the provider's Home Health Agency taxonomy but signals operational specialization in aide-delivered daily living support and long-duration personal assistance.

    Competitively, HOME FAMILY CARE, INC appears to be a major in-state provider for personal care services: T1019 and T1020 rankings and percentiles (98th and 95th percentiles respectively, described as notably above typical state volume) indicate the provider sits among the highest-volume Medicaid personal care agencies in New York, making it an important player in the state's personal care market.

    The provider has longstanding market presence, having been enumerated on 2008-04-16 (~18 years ago), and that tenure combined with $841M in Medicaid revenue underscores an established operational scale in Medicaid personal care. The lack of Medicare billing on file points to either strategic focus on Medicaid populations or a limited role in Medicare-eligible skilled home health services, which should be considered when benchmarking against dual-payer peers.

    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.

    6 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…5,231,120$150$774.2M
    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…209,000$320$65.8M
    T1022Contracted home health agency services, all services provided under contract, per day6,630$120$802.1K
    T1030Nursing care, in the home, by registered nurse, per diem810$90$71.3K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.210$190$39.7K
    T1001Nursing assessment / evaluation30$100$2.8K

    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

    6 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…15910108,820$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…1735012,660$310$13.1M
    T1030Nursing care, in the home, by registered nurse, per diem87210450$120$728.3K
    T1001Nursing assessment / evaluation96120150$130$514.1K
    T1022Contracted home health agency services, all services provided under contract, per day8330470$170$231.1K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.5117080$20$68.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    S & A Unified Home Care, Inc.NYHome Health Agency$0$766.2M
    All American Homecare Agency Inc.NYHome Health Agency$0$758.7M
    Attentive Home Care Agency IncNYHome Health Agency$0$537.9M
    Advantage Management Associates Inc.NYHome Health Agency$0$335.9M
    Parkshore Home Health Care LLCNYHome Health Agency$0$300.4M
    Good Care Agency IncNYHome Health Agency$0$264.5M
    Eagle Eye Fv, IncNYHome Health Agency$0$245M
    Friendly Home CareNYHome Health Agency$0$197.1M
    All American Homecare Agency Inc.NYHome Health Agency$0$166M
    Advance Home Care LLCNYHome Health Agency$0$148.6M

    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
    Home Family Care, Inc — 3 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York