Agency
Effective Home Care L.L.C.
Effective Home Care L.L.C. was paid $155.19M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 99% of everything it billed.
33Billing provider infoEFFECTIVE HOME CARE L.L.C.
ASTORIA, NY 11103
ASTORIA, NY 11103
33aNPI1871906032assigned 06/05/2014
33bProvider typeHome Health Agency
28Total paid$155.19M
24GClaims1,060,897
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in New York
Rank by total paid#110 of 851
Median peer was paid$15.00M
This provider vs. median10×
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 | 85,443 | $11.84M | |
| 2019 | 131,585 | $19.44M | |
| 2020 | 163,484 | $23.73M | |
| 2021 | 164,602 | $23.54M | |
| 2022 | 165,530 | $24.09M | |
| 2023 | 176,432 | $26.58M | |
| 2024incomplete | 173,821 | $25.98M |
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) | 99% | 1,055,245 | 41,180 | $153.69M |
| 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) | <1% | 3,038 | 115 | $981K |
| T1022 | Contracted home health agency services, all services provided under contract, per day | <1% | 1,637 | 1,304 | $277K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 977 | 977 | $241K |
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 officialKANOVICH, GARY (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Hope and Cherish Home Care LLC | Brooklyn, NY | $27.49M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.