Agency
Community Care of Western New York, INC.
Community Care of Western New York, INC. was paid $2.39M by Medicaid between Aug 2019 and Sep 2024, across 7 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 60% of everything it billed.
33Billing provider infoCOMMUNITY CARE OF WESTERN NEW YORK, INC.
ALLEGANY, NY 14706
ALLEGANY, NY 14706
33aNPI1760538599assigned 01/26/2007
33bProvider typeHome Health Agency
28Total paid$2.39M
24GClaims39,703
24DCodes billed7
24AFirst – last monthAug 2019 – Sep 2024
Compared with peers
Next to other Home Health Agency providers in New York
Rank by total paid#622 of 851
Median peer was paid$15.00M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 3,890 | $225K | |
| 2020 | 9,671 | $521K | |
| 2021 | 7,481 | $398K | |
| 2022 | 7,042 | $389K | |
| 2023 | 6,921 | $420K | |
| 2024incomplete | 4,698 | $439K |
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) | 60% | 19,035 | 1,750 | $1.43M |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 27% | 16,292 | 1,664 | $656K |
| T1001 | Nursing assessment / evaluation | 7.1% | 1,598 | 1,348 | $169K |
| A0130 | Non-emergency transportation: wheelchair van | 2.6% | 1,144 | 653 | $62K |
| S0209 | Wheelchair van, mileage, per mile | 1.8% | 1,138 | 651 | $44K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | <1% | 328 | 74 | $20K |
| S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | <1% | 168 | 13 | $14K |
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 officialNELSON, SUSAN (CFO)