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Open Door NY Home Care Service

Home Health·Staten Island, NY·NPI: 1487031092Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $159.7M is at the 50th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$159.7M

$159,746,094

Total Claims

1.2M

Beneficiaries

48K

24.0 claims/patient

Avg Cost/Claim

$137

#652 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Open Door NY Home Care Service is a Home Health provider based in Staten Island, NY. From the 2018–2024 period, this provider received $159.7M in Medicaid payments across 1.2M claims.

Why This Matters

This provider received $159.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,968 Medicaid beneficiaries for a full year at average per-enrollee costs.

274% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$10.2M
+36%
2019
$13.8M
+20%
2020
$16.5M
+17%
2021
$19.4M
+36%
2022
$26.5M
+34%
2023
$35.4M
+7%
2024
$38.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 97% of total spending.

T1019Normal range

Personal care services, per 15 min

$154.8M

1.1M claims · 96.9%

Your Cost: $134.72/claim|Median: $82.47
1.6× median
T1020Top 25%

Personal care services, per diem

$4.7M

13K claims · 2.9%

Your Cost: $373.77/claim|Median: $296.27
1.3× median
T1022Normal range

$283K

1,571 claims · 0.2%

Your Cost: $180.38/claim|Median: $184.03
1.0× median