Agency
Theracare of New York INC
Theracare of New York INC was paid $43.65M by Medicaid between Nov 2018 and Dec 2024, across 22 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 43% of everything it billed.
33Billing provider infoTHERACARE OF NEW YORK INC
NEW YORK, NY 10001
NEW YORK, NY 10001
33aNPI1528113974assigned 01/24/2007
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$43.65M
24GClaims573,681
24DCodes billed22
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in New York
Rank by total paid#5 of 20
Median peer was paid$6.12M
This provider vs. median7.1×
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.
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 | 94 | $4K | |
| 2019 | 86,337 | $6.56M | |
| 2020 | 125,791 | $9.50M | |
| 2021 | 112,348 | $8.57M | |
| 2022 | 97,013 | $7.20M | |
| 2023 | 98,460 | $7.14M | |
| 2024incomplete | 53,638 | $4.68M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 43% | 239,009 | 34,135 | $18.68M |
| H2014 | Skills training and development, per 15 minutes | 26% | 116,541 | 11,415 | $11.29M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 7.8% | 43,802 | 10,573 | $3.40M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 5.2% | 29,400 | 7,644 | $2.26M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 4.6% | 59,760 | 10,735 | $2.01M |
| 92557 | 2.9% | 39,222 | 7,536 | $1.27M | |
| G0177 | Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) | 2.8% | 11,950 | 1,182 | $1.23M |
| 96112 | 2.1% | 3,088 | 1,793 | $927K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.8% | 10,365 | 3,265 | $807K |
| 97533 | 1.2% | 6,873 | 2,477 | $530K | |
| 97116 | 1.0% | 5,741 | 1,805 | $443K | |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 3,719 | 475 | $359K |
10 more codes
| 92526 | <1% | 1,283 | $97K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 858 | $66K |
| 97165 | <1% | 326 | $56K | |
| 96116 | <1% | 281 | $49K | |
| 97532 | <1% | 603 | $48K | |
| 97167 | <1% | 224 | $40K | |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 365 | $36K |
| 92523 | <1% | 159 | $25K | |
| 97163 | <1% | 73 | $14K | |
| 97166 | <1% | 39 | $8K |
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 officialCALDERON, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Theracare Managed Services, LLC | Long Island City, NY | $427K |
| Theracare of New York, INC. | Norwalk, CT | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.