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.

Platinum Home Health Care Inc. (NPI 1871821710)

Field	Value
Entity Type	Organization
Organization	Platinum Home Health Care Inc.
Address	170 53rd Street Suite 304
City	Brooklyn
State	NY
ZIP	11232
Taxonomy	Home Health Agency
NPI Enumerated	December 4, 2009

Payer Source	Total Paid
Medicaid	$866M
Medicare	$0

Key Findings

PLATINUM HOME HEALTH CARE INC. is a home health agency based in BROOKLYN, NY with an NPI enumerated on 2009-12-04 (~17 years ago), indicating long-standing enrollment in federal provider registries. The organizational taxonomy and tenure are consistent with ongoing Medicaid service delivery rather than a recent market entrant.

This provider has no Medicare billing on file and therefore operates effectively as a single-payer Medicaid-provider in the available dataset, with total Medicaid revenue reported as $866M. Absence of Medicare claims means all observed clinical and revenue patterns in this profile are driven by Medicaid programs and fee schedules.

Revenue is extremely concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, driven primarily by T1019 (88.2%) and T1020 (11.4%), with S5125 contributing the remaining 0.4%. This concentration indicates that a handful of personal-care and attendant-care line items underpin the entirety of reported Medicaid receipts.

Operationally, the code mix (T1019 — personal care services, per 15 minutes; T1020 — personal care services, per diem; S5125 — attendant care services, per 15 minutes) signals that PLATINUM HOME HEALTH CARE INC. is primarily a personal- and attendant-care provider rather than a skilled nursing or therapy-focused home health agency. The dominance of per-15-minute and per-diem personal care codes, along with relatively small reported activity for nursing per diem and other home-health contract codes, suggests reliance on aide/attendant labor as the core service line.

The scale of activity for the top revenue drivers is large: T1019 shows 4.4M claims at $172 avg paid/claim for $763.9M in revenue, and T1020 shows 302.3K claims at $327 avg paid/claim for $98.8M in revenue. These claim counts and average paid amounts demonstrate that the bulk of the provider’s Medicaid volume is concentrated in minute- and day-based personal care billing, explaining the $866M lifetime Medicaid total.

Statewide competitive standing is strong for the top codes: for T1019 the provider ranks #22 of 912 in-state (98th percentile) and is described as notably above typical state volume, indicating it is a major statewide supplier of per-15-minute personal care. For T1020 the provider ranks #10 of 354 in-state (97th percentile) and is labeled an extreme outlier, far above typical state volume, which underscores unusually high per-diem personal-care delivery relative to peers.

S5125 is a very small revenue contributor at $3M (0.4% of total Medicaid revenue), with 14.8K claims and $206 avg paid/claim, and the provider ranks #13 of 61 in-state (80th percentile) where volume is characterized as typical and unremarkable. This indicates attendant care is part of the service mix but not a primary revenue driver compared with the dominant personal care codes.

The provider’s near-total dependence on two personal-care codes (T1019 and T1020) for 100.0% of Medicaid revenue poses operational and reimbursement concentration risk: changes in Medicaid coverage policy, per-unit rates, or utilization review for these specific codes would materially affect overall revenue. Analysts should treat this provider as highly exposed to policy or rate shifts in personal/attendant care lines rather than diversified home health services.

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…	4,441,530	$170	$763.9M
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…	302,270	$330	$98.8M
S5125	Attendant care services; per 15 minutes	14,770	$210	$3M
T1022	Contracted home health agency services, all services provided under contract, per day	470	$200	$94.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	170	$230	$37.8K
T1030	Nursing care, in the home, by registered nurse, per diem	260	$30	$6.4K

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

Platinum Home Health Care Inc. — 2 of 6 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

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…	22	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…	10	350	12,660	$310	$13.1M
S5125	Attendant care services; per 15 minutes	13	60	4,640	$100	$5.7M
T1030	Nursing care, in the home, by registered nurse, per diem	125	210	450	$120	$728.3K
T1022	Contracted home health agency services, all services provided under contract, per day	169	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	58	170	80	$20	$68.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Assistcarehome Healthcare Services	NY	Home Health Agency	$0	$1.4B
Human Care LLC	NY	Home Health Agency	$0	$839.5M
New York Network Ipa Inc	NY	Exclusive Provider Organization	$0	$529.1M
Js Home Care Agency Of Ny	NY	Home Health Agency	$0	$389.1M
Ateres Mordechai	NY	Early Intervention Provider Agency	$0	$66.5M
Human Care LLC.	NY	Home Health Agency	$0	$59.9M
Unicare C.d.c.	NY	Home Health Agency	$0	$26.2M
Js Homecare Agency Of Ny, Inc.	NY	Home Health Agency	$0	$25M
Postgraduate Center For Mental Health	NY	Community/Behavioral Health Agency	$0	$23.6M
Enrique Guillen	NY	General Practice Dentistry	$265.5K	$0

Platinum Home Health Care Inc. — Billing Profile & Reimbursement Data

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Platinum Home Health 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