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    OpenPayerNPI Medicare & MedicaidAt Talitha Cumi Home Care, Inc
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    At Talitha Cumi Home Care, Inc — Billing Profile & Reimbursement Data

    NPI 1023320967 · Hialeah, FL · Attendant Care Provider

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    At Talitha Cumi Home Care, Inc is a attendant care provider provider located in Hialeah, Florida. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAt Talitha Cumi Home Care, Inc
    Address1840 W 49th St Ste 224
    CityHialeah
    StateFL
    ZIP33012
    TaxonomyAttendant Care Provider
    NPI EnumeratedJuly 8, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$50.6M
    Medicare$0

    Key Findings

    AT TALITHA CUMI HOME CARE, INC is effectively a single-payer Medicaid provider: lifetime Medicaid revenue on file is $50.6M while Medicare shows none (no Medicare billing on file). The provider has an NPI enumerated 2010-07-08 (~16 years ago), indicating long tenure in the market under the Attendant Care Provider taxonomy.

    The provider’s service mix is concentrated in in-home personal care and homemaker services: the top-revenue codes are T1019 (personal care services, per 15 minutes), S5130 (homemaker service, per 15 minutes), and T1004 (services of a qualified nursing aide, up to 15 minutes). These codes and their 15-minute billing intervals point to a labor-intensive, visit-based attendant-care operation focused on short-interval, in-home support.

    Revenue concentration is high: the precomputed top-three Medicaid codes account for 79.2% of this provider’s total Medicaid revenue. Those top three are T1019 ($20.7M, 41.0% of Medicaid revenue), S5130 ($12.6M, 24.8%), and T1004 ($6.8M, 13.4%), showing most revenue is driven by a small set of personal-care and aide services.

    On competitive standing for its largest codes, AT TALITHA CUMI is a major statewide player. T1019 ranks #14 of 762 providers in-state (98th percentile) and S5130 ranks #9 of 1073 providers (99th percentile, labeled an extreme outlier), indicating service volumes far above typical state peers for both personal care and homemaker services.

    T1004 and other recurring aide codes also show outsized statewide presence: T1004 is #11 of 511 providers in-state (98th percentile, labeled an extreme outlier), S9122 is #17 of 348 (95th percentile, notably above typical volume), and S5135 is #11 of 540 (98th percentile). These rankings collectively characterize the provider as a high-volume attendant-care operator across multiple care-delivery codes.

    Claim-level metrics underline a volume-driven model with modest per-claim rates on some lines: T1019 shows 363.5K claims at $57 avg paid/claim totaling $20.7M, while S5130 shows 418.7K claims at $30 avg paid/claim totaling $12.6M. The combination of very high claim counts and lower average payments per claim for homemaker-style codes suggests operational scale built on high-frequency, short-duration service units.

    Several ancillary codes confirm breadth within in-home support: S9122 ($4M, 8.0% of Medicaid revenue) and S5135 ($3.8M, 7.4%) add meaningful share beyond the top three, while S5150 ($2.2M, 4.4%) appears at a more typical in-state volume (87th percentile). T1005 also contributes smaller but notable revenue ($532.3K, 1.1%), ranking #5 of 74 providers in-state (95th percentile), indicating presence in respite-care lines as well.

    From a payer and network-management perspective, this provider’s high concentration in a few attendant-care codes (79.2% of Medicaid revenue from the top three) and its top-decile/statewide outlier rankings make it an important counterparty for Medicaid managed-care plans focused on home-based personal assistance. That same concentration means changes to reimbursement policy or utilization controls on T1019, S5130, or T1004 would likely have a disproportionate impact on this provider’s Medicaid revenue base.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…363,530$60$20.7M
    S5130Homemaker service, nos; per 15 minutes418,700$30$12.6M
    T1004Services of a qualified nursing aide, up to 15 minutes109,170$60$6.8M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour73,300$60$4M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes117,430$30$3.8M
    S5150Unskilled respite care, not hospice; per 15 minutes35,670$60$2.2M
    T1005Respite care services, up to 15 minutes11,830$50$532.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…1476013,520$50$2.5M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour173508,550$120$2.2M
    S5130Homemaker service, nos; per 15 minutes91,07011,250$40$1.3M
    S5150Unskilled respite care, not hospice; per 15 minutes171205,280$50$1M
    T1004Services of a qualified nursing aide, up to 15 minutes115107,390$50$958.8K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes115405,780$40$596.2K
    T1005Respite care services, up to 15 minutes5702,290$40$154K

    Nearby Providers

    Other providers in the same ZIP code as At Talitha Cumi Home Care, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caring Professional Services IncFLHome Health Agency$0$158.8M
    Agape Nurse RegistryFLHome Health Agency$0$101.7M
    Citrus Health Network IncFLCommunity/Behavioral Health Agency$0$50.5M
    Angel Speech And Therapy Services, Inc.FLClinic/Center$0$20.6M
    Kidscare Therapy Center IncFLClinic/Center$0$16.7M
    Variety Children's HospitalFLChildren's Hospital$0$15.5M
    Florida Children's Dentistry, P.A.FLPediatric Dentistry$0$14.8M
    Get A Grip 123 LLCFLDurable Medical Equipment & Medical Supplies$0$13.2M
    Healing Touch C&c IncFLHealth Service Clinic/Center$0$10.8M
    Homed Care IncFLHome Health Agency$0$9.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Florida Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    At Talitha Cumi Home Care, Inc — 5 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida