Open Door NY Home Care Service

Open Door NY Home Care Service was paid $159.75M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 97% of everything it billed.

33Billing provider infoOPEN DOOR NY HOME CARE SERVICE
STATEN ISLAND, NY 10304

33aNPI1487031092assigned 05/04/2015

33bProvider typeHome Health Agency

28Total paid$159.75M

24GClaims1,162,961

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in New York

Rank by total paid#102 of 851

Median peer was paid$15.00M

This provider vs. median11×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	78,058	$10.16M
2019	100,205	$13.82M
2020	124,904	$16.55M
2021	150,403	$19.42M
2022	198,998	$26.45M
2023	243,318	$35.40M
2024incomplete	267,075	$37.95M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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 services provided by home health aide or certified nurse assistant)	97%	1,148,831	46,345	$154.77M
T1020	Help at home with daily living, billed per dayPersonal 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 services provided by home health aide or certified nurse assistant)	2.9%	12,559	529	$4.69M
T1022	Contracted home health agency services, all services provided under contract, per day	<1%	1,571	1,568	$283K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCHERKALIN, BORIS (CEO)

Same official

Other billing entities under CHERKALIN, BORIS

Full network →

Provider	Location	Paid
Open Door NY Home Care Services, INC.	Long Island City, NY	$282K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.