Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Florida (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Vip Kidz Loxahatchee, LLC (NPI 1104337773)

Field	Value
Entity Type	Organization
Organization	Vip Kidz Loxahatchee, LLC
Address	13475 Southern Blvd # 150
City	Loxahatchee
State	FL
ZIP	33470
Taxonomy	Medically Fragile Infants and Children Day Care
NPI Enumerated	October 23, 2017

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	49,740	$160	$8.2M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	18,790	$20	$319.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Vip Kidz Loxahatchee, LLC — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	8	160	10,530	$220	$3.4M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	245	2,310	1,910	$40	$315.4K

Nearby Providers

Other providers in the same ZIP code as Vip Kidz Loxahatchee, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palms West Hospital Limited Partnership	FL	General Acute Care Hospital	$0	$15.9M
Jean-marc Geneve	FL	Family Nurse Practitioner	$609K	$0
Howard Busch	FL	Rheumatology Physician	$457.6K	$0
Binor Said	FL	Diagnostic Radiology Physician	$235K	$0
Fernando Ottino	FL	Nephrology Physician	$220.3K	$0
Michelle Santomassino	FL	Family Nurse Practitioner	$171.6K	$0
Diego Rubinowicz	FL	Urology Physician	$166.6K	$0
Neal Warshoff	FL	Pulmonary Disease Physician	$127.2K	$0
Marie Marlene Jean	FL	Psychiatric/Mental Health Nurse Practitioner	$125.9K	$0
Sheri Grisso	FL	Family Nurse Practitioner	$101.8K	$0

Vip Kidz Loxahatchee, LLC — Billing Profile & Reimbursement Data

Sign up for Vip Kidz Loxahatchee, LLC — Billing Profile & Reimbursement Data policy alerts

Vip Kidz Loxahatchee, LLC — Billing Profile & Reimbursement Data

Sign up for Vip Kidz Loxahatchee, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References