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.

Personal Touch Home Care Of New York, Inc (NPI 1932106010)

Field	Value
Entity Type	Organization
Organization	Personal Touch Home Care Of New York, Inc
Address	36-36 33rd Street
City	Long Island City
State	NY
ZIP	11106
Taxonomy	Home Health Agency
NPI Enumerated	July 5, 2005

Payer Source	Total Paid
Medicaid	$703.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all reported federal claims revenue comes through Medicaid, with total Medicaid revenue of $703.8M. The absence of Medicare activity combined with a large Medicaid footprint makes Medicaid policy and state program changes the primary revenue drivers for this organization.

Revenue is extremely concentrated in a very small set of service codes: the precomputed top three Medicaid codes account for 99.9% of the provider's total Medicaid revenue. In particular, T1019 ($612.3M, 87.0% of Medicaid revenue) and T1020 ($86.7M, 12.3% of Medicaid revenue) together represent the vast majority of reported receipts, while S5125 contributes only $3.8M (0.5%).

The mix of high-volume codes indicates a business model focused on long‑term personal care and attendant services rather than skilled home‑health interventions. T1019 and T1020 are personal care service codes billed per 15 minutes and per diem respectively, and S5125 captures attendant care per 15 minutes, suggesting routine ADL/IADL support and attendant programs are the core operations; contracted home‑health (T1022) and home‑health aide hours (S9122) are present but represent only a very small share of revenue.

T1020 is a standout in the provider's competitive profile: it ranks #11 of 354 providers in-state (97th percentile) and is labeled an "extreme outlier, far above typical state volume for this code." That ranking indicates this provider is an unusually large state-level operator for per‑diem personal care, and competitors or payers assessing market concentration should treat T1020 volume as a distinctive strength.

T1019 also ranks highly at #38 of 912 providers in-state (96th percentile) but is characterized in the data as having a "typical, unremarkable volume for this code." In practice this means the provider reports substantial absolute dollars for per‑15‑minute personal care ($612.3M), yet that level of activity falls within patterns the dataset treats as common among many in‑state suppliers of this service.

S5125 (attendant care) contributes a small share of revenue ($3.8M) and ranks #8 of 61 providers in-state (88th percentile) while likewise being described as "typical, unremarkable volume for this code." This suggests attendant care is a meaningful but secondary line for the agency rather than a primary driver of scale.

The provider has long tenure: the NPI was enumerated on 2005-07-05 (~21 years ago). That extended presence in the state market, combined with the concentrated Medicaid revenue base, implies an established operational footprint and likely significant experience with state Medicaid billing and program rules.

From a risk and strategic perspective, the combination of near‑complete Medicaid dependence and extreme revenue concentration in T1019/T1020 creates exposure to any state policy, reimbursement, or utilization reviews that target personal care/per‑diem services. Small supplemental lines (T1022, S9122 and other codes) do not materially diversify revenue, so payers and analysts should monitor per‑code utilization trends for this provider when assessing future fiscal or network risk.

Medicaid: Complete Services Breakdown

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

9 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…	2,987,040	$210	$612.3M
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…	273,540	$320	$86.7M
S5125	Attendant care services; per 15 minutes	25,310	$150	$3.8M
T1022	Contracted home health agency services, all services provided under contract, per day	1,540	$260	$399.9K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	2,390	$80	$188.7K
S5126	Attendant care services; per diem	670	$250	$164.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	210	$260	$55.3K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	600	$90	$51.2K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	510	$40	$22K

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

Personal Touch Home Care Of New York, Inc — 2 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5126	Attendant care services; per diem	20	20	2,660	$80	$114M
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…	38	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…	11	350	12,660	$310	$13.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	2	10	350	$50	$7.4M
S5125	Attendant care services; per 15 minutes	8	60	4,640	$100	$5.7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	16	50	930	$160	$1.4M
T1022	Contracted home health agency services, all services provided under contract, per day	56	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	50	170	80	$20	$68.2K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	15	50	130	$80	$31.5K

Nearby Providers

Other providers in the same ZIP code as Personal Touch Home Care Of New York, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Queens Coordinated Care Partners	NY	Case Management Agency	$0	$31.3M
Nimesh Patel	NY	Legal Medicine	$671.3K	$2M
Dimitrios Kostopoulos	NY	Physical Therapist	$323K	$43.6K
Oluwaseun Ajifowobaje	NY	Physical Therapist	$170.2K	$0

Personal Touch Home Care Of New York, Inc — Billing Profile & Reimbursement Data

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Personal Touch Home Care Of New York, 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