Agency
Five Star Home Health Care Agency
Five Star Home Health Care Agency was paid $740.00M by Medicaid between Jan 2018 and Dec 2024, across 7 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 infoFIVE STAR HOME HEALTH CARE AGENCY
BROOKLYN, NY 11229
BROOKLYN, NY 11229
33aNPI1528315397assigned 08/10/2012
33bProvider typeHome Health Agency
28Total paid$740.00M
24GClaims4,689,038
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in New York
Rank by total paid#17 of 851
Median peer was paid$15.00M
This provider vs. median49×
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 | 278,353 | $39.26M | |
| 2019 | 450,738 | $66.97M | |
| 2020 | 670,350 | $97.39M | |
| 2021 | 739,171 | $110.15M | |
| 2022 | 812,506 | $126.02M | |
| 2023 | 902,998 | $153.03M | |
| 2024incomplete | 834,922 | $147.18M |
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% | 4,601,230 | 191,155 | $714.13M |
| 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) | 3.4% | 83,196 | 3,409 | $25.19M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | <1% | 2,653 | 130 | $339K |
| T1022 | Contracted home health agency services, all services provided under contract, per day | <1% | 1,371 | 1,371 | $203K |
| 99199 | Unlisted special service, procedure or report | <1% | 512 | 512 | $132K |
| T1030 | Nursing care, in the home, by registered nurse, per diem | <1% | 38 | 38 | $3K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | <1% | 38 | 38 | $3K |
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 officialMARKOV, IVETTE (ADMINISTRATOR)