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.

The Royal Care Inc (NPI 1821275801)

Field	Value
Entity Type	Organization
Organization	The Royal Care Inc
Address	6323 14th Ave
City	Brooklyn
State	NY
ZIP	11219
Taxonomy	Home Health Agency
NPI Enumerated	January 22, 2008

Payer Source	Total Paid
Medicaid	$738.8M
Medicare	$0

Key Findings

THE ROYAL CARE INC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $738.8M in total Medicaid revenue. This concentration of revenue with Medicaid makes payer strategy and contracting with state Medicaid programs the central commercial focus for the organization.

The provider’s Medicaid revenue is extremely concentrated in a very small set of service codes: the precomputed top 3 codes by revenue account for 100.0% of this provider's total Medicaid revenue. Those codes are T1019 (90.7%, $669.9M), T1020 (9.2%, $68.2M) and S5130 (0.1%, $577.8K), indicating near-total dependence on these personal-care and homemaker service lines.

The code mix points to an operation built around personal care and homemaker services rather than skilled home health: T1019 is "Personal care services, per 15 minutes" and T1020 is the per diem personal care service, together driving $738.1M of the Medicaid revenue reported. By contrast, nursing care in the home (T1030) is negligible at $59.1K, suggesting limited delivery of RN per-diem skilled nursing relative to personal-care services.

T1019 volumes and rank show the provider is a major in-state player for this service: T1019 has 3.9M claims, $170 avg paid/claim and $669.9M revenue, ranking #24 of 912 providers in-state (97th percentile) and described as "notably above typical state volume." This combination of very high claim count and very large share of revenue indicates operational scale and throughput focused on 15-minute personal-care encounters.

T1020 also reflects high statewide standing for per-diem personal care: 219.3K claims, $311 avg paid/claim and $68.2M revenue, ranking #15 of 354 providers in-state (96th percentile) and likewise noted as "notably above typical state volume." The presence of both high-volume per-15-minute and per-diem personal-care billing suggests the agency serves both episodic and daily-care arrangements at scale.

Smaller codes show unremarkable participation: S5130 (homemaker service) contributes $577.8K and ranks #7 of 36 providers in-state (83th percentile) and is labeled "typical, unremarkable volume," while T1030 (nursing care, RN per diem) is $59.1K, ranks #92 of 207 (56th percentile) and is also characterized as typical. These patterns imply the provider’s competitive edge is concentrated in non-skilled personal care rather than homemaker or skilled nursing niches.

Operational and market stability is suggested by tenure: the NPI was enumerated 2008-01-22 (~18 years ago), consistent with a long-tenured home health agency that has scaled Medicaid personal-care billing over many years. Analysts should treat Medicaid program changes, per-diem pricing, and authorization requirements as the primary risk levers for this provider given its Medicaid-only revenue footprint.

Medicaid: Complete Services Breakdown

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

4 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…	3,940,870	$170	$669.9M
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…	219,260	$310	$68.2M
S5130	Homemaker service, nos; per 15 minutes	5,840	$100	$577.8K
T1030	Nursing care, in the home, by registered nurse, per diem	670	$90	$59.1K

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

The Royal Care Inc — 2 of 4 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

4 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…	24	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…	15	350	12,660	$310	$13.1M
S5130	Homemaker service, nos; per 15 minutes	7	40	1,150	$60	$6.6M
T1030	Nursing care, in the home, by registered nurse, per diem	92	210	450	$120	$728.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A & J Staffing, Inc	NY	Home Health Agency	$0	$776.3M
Community Home Care Referral Service, Inc.	NY	Home Health Agency	$0	$527.5M
The Royal Care Fi LLC	NY	Home Health Agency	$0	$323.7M
Hamaspik Of Kings County	NY	Case Management Agency	$0	$295.2M
Maimonides Medical Center	NY	General Acute Care Hospital	$0	$260.9M
All Care Home Health Services LLC	NY	Home Health Agency	$0	$260M
Alternate Staffing, Inc.	NY	Home Health Agency	$0	$236.5M
Human Care Services For Families And Children Inc	NY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$204M
Regency Health Care, Inc	NY	Home Health Agency	$0	$157.6M
Greater New York Home Care LLC	NY	Home Health Agency	$0	$135M

The Royal Care Inc — Billing Profile & Reimbursement Data

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The Royal Care Inc — 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