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Five Star Home Health Care Agency

Home Health·Brooklyn, NY·NPI: 1528315397Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $740.0M is at the 90th percentile among 322 Home Health providers.

Above 90th percentile for this specialty — higher spending than 289 of 322 peers

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

Total Paid

$740.0M

$740,001,914

Total Claims

4.7M

Beneficiaries

197K

23.8 claims/patient

Avg Cost/Claim

$158

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

🔍 Analysis

Provider Overview

Five Star Home Health Care Agency is a Home Health provider based in Brooklyn, NY. From the 2018–2024 period, this provider received $740.0M in Medicaid payments across 4.7M claims.

Why This Matters

This provider received $740.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 92,500 Medicaid beneficiaries for a full year at average per-enrollee costs.

275% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$39.3M
+71%
2019
$67.0M
+45%
2020
$97.4M
+13%
2021
$110.2M
+14%
2022
$126.0M
+21%
2023
$153.0M
-4%
2024
$147.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 97% of total spending.

T1019Top 25%

Personal care services, per 15 min

$714.1M

4.6M claims · 96.5%

Your Cost: $155.20/claim|Median: $82.47
1.9× median
T1020Normal range

Personal care services, per diem

$25.2M

83K claims · 3.4%

Your Cost: $302.78/claim|Median: $296.27
1.0× median
S5125Normal range

Attendant care services, per 15 min

$339K

3K claims · 0.0%

Your Cost: $127.80/claim|Median: $82.34
1.6× median
T1022Normal range

$203K

1K claims · 0.0%

Your Cost: $147.92/claim|Median: $184.03
0.8× median
99199Top 5%

Unlisted special service, procedure, or report

$132K

512 claims · 0.0%

Your Cost: $258.66/claim|Median: $5.39
48.0× median
T1030Normal range

Nursing care, in the home, by RN, per diem

$3K

38 claims · 0.0%

Your Cost: $88.00/claim|Median: $85.62
1.0× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$3K

38 claims · 0.0%

Your Cost: $85.00/claim|Median: $124.86
0.7× median