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.

Dhcare Ny LLC (NPI 1891227203)

Field	Value
Entity Type	Organization
Organization	Dhcare Ny LLC
Address	17215 Hillside Ave
City	Jamaica
State	NY
ZIP	11432
Taxonomy	Home Health Agency
NPI Enumerated	April 3, 2017

Payer Source	Total Paid
Medicaid	$369.2M
Medicare	$0

Key Findings

DHCARE NY LLC is effectively a single-payer Medicaid operator: it has no Medicare billing on file and reports $369.2M in lifetime Medicaid revenue, indicating the organization’s billing activity is concentrated entirely in the Medicaid program rather than split between Medicare and Medicaid. This payer mix suggests the provider’s business model and service lines are focused on Medicaid-covered home- and community-based services.

Revenue concentration is extremely high: the precomputed top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with a single code, T1019, representing $367.8M or 99.6% of Medicaid revenue. That dominance of T1019 means nearly all reported Medicaid dollars flow through per-15-minute personal care service units rather than a diversified mix of procedure or visit codes.

The code mix and descriptions indicate a service-line profile centered on personal care and contracted home health delivery. T1019 (Personal care services, per 15 minutes) is by far the primary revenue driver, and T1022 (Contracted home health agency services, per day) and 99199 (other medicine services) make up the residual revenue, which is consistent with an agency delivering large volumes of personal care aide time and some bundled/contracted agency-day billing.

Competitive standing within New York for these Medicaid codes is relatively strong: T1019 ranks #47 of 912 providers in-state (95th percentile) and T1022 ranks #7 of 334 providers in-state (98th percentile), positions that place DHCARE NY LLC in the upper decile for those code volumes. Despite these high percentile ranks, the dataset labels the volumes for these codes as "typical, unremarkable volume for this code," which indicates large absolute scale without an abnormal coding pattern flagged by the comparison metrics.

Operational scale implications: T1019’s 2.5M claims and $148 avg paid/claim (yielding $367.8M revenue) point to very high unit volumes of short-interval service delivery (15-minute units), implying a labor-intensive delivery model relying on many discrete personal care visits or units. The presence of 7.8K claims for T1022 at $172 avg paid/claim ($1.3M revenue) suggests the provider also records contracted agency-day services at a much smaller but measurable scale.

Use of miscellaneous procedure coding is minimal but present: 99199 appears with 393 claims, $234 avg paid/claim, and $92K revenue (0.0% of Medicaid revenue), ranking #28 of 167 in-state (84th percentile) and described as "typical, unremarkable volume for this code." This indicates occasional billing for services that lack a specific code but it does not materially contribute to revenue or change the provider’s dominant service-line profile.

Tenure is established but not long-standing compared with legacy providers: the NPI was enumerated on 2017-04-03 (about 9 years ago), so the organization has a multi-year presence in the Medicaid market but is not a decades-old incumbent. That tenure aligns with the large Medicaid revenue footprint, suggesting rapid scale-up in the Medicaid personal care segment since enumeration.

From a risk and contracting perspective, the extreme reliance on T1019 (99.6% of Medicaid revenue) means payer negotiations, audits, or policy changes affecting per-15-minute personal care reimbursement would disproportionately affect this provider’s revenue. Analysts and contracting teams should treat DHCARE NY LLC as a high-concentration Medicaid personal care provider when assessing network adequacy, reimbursement sensitivity, or competitive dynamics within New York state.

Medicaid: Complete Services Breakdown

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

3 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…	2,485,090	$150	$367.8M
T1022	Contracted home health agency services, all services provided under contract, per day	7,810	$170	$1.3M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	390	$230	$92K

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

Dhcare Ny LLC — 1 of 3 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

3 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…	47	910	108,820	$150	$81.8M
T1022	Contracted home health agency services, all services provided under contract, per day	7	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	28	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as Dhcare Ny LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M And N Home Care Services LLC	NY	In Home Supportive Care Agency	$0	$308.9M
Agincare Homecare Services, Inc.	NY	Home Health Agency	$0	$137.7M
New York City Health And Hospitals Corporation	NY	General Acute Care Hospital	$0	$125.9M
Essential Home Care Inc.	NY	In Home Supportive Care Agency	$0	$113.2M
Aasha Services Inc	NY	Home Health Agency	$0	$98.6M
Personal-touch Home Care Of N.y. Inc.	NY	Home Health Agency	$0	$95.7M
Kris Agecny & Home Care Inc	NY	Home Health Agency	$0	$58M
Dhcare Homehealth Inc.	NY	Home Health Agency	$0	$27.3M
Harry's Nurses Registry,inc	NY	Nursing Care Agency	$0	$20.4M
New Era Diagnostics Inc	NY	Specialist	$673.8K	$928.8K

Dhcare Ny LLC — Billing Profile & Reimbursement Data

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Dhcare Ny 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

Nearby Providers

Frequently Asked Questions

References