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.

Promptcare Florida, Inc. (NPI 1114923075)

Field	Value
Entity Type	Organization
Organization	Promptcare Florida, Inc.
Address	3402 Sw 26th Ter Ste B03
City	Fort Lauderdale
State	FL
ZIP	33312
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicaid	$23.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	4,110	$730	$3M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	10,890	$210	$2.2M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	8,530	$230	$2M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2,750	$590	$1.6M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1,870	$760	$1.4M
B9002	Enteral nutrition infusion pump, any type	14,950	$80	$1.2M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	8,650	$120	$1.1M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1,620	$570	$925.7K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2,090	$430	$904.2K
A4554	Disposable underpads, all sizes	12,290	$70	$897.2K

Showing 1–10 of 74

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

Promptcare Florida, Inc. — 1 of 25 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

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	8	30	1,790	$670	$1.8M
A4353	Intermittent urinary catheter, with insertion supplies	23	20	620	$450	$1.2M
E1399	Durable medical equipment, miscellaneous	31	50	420	$790	$880.5K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3	30	1,450	$520	$775K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	45	50	1,800	$60	$730.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	29	60	2,140	$60	$601K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	6	50	1,820	$180	$550K
S5199	Personal care item, nos, each	26	40	2,820	$50	$547.8K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	4	20	400	$690	$542.2K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	7	60	2,250	$110	$520.7K

Showing 1–10 of 74

Nearby Providers

Other providers in the same ZIP code as Promptcare Florida, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chrysalis Center, LLC	FL	Community/Behavioral Health Agency	$0	$155.2M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$12.6M
County Of Broward Office Of The Sheriff	FL	Ambulance	$2.1M	$5.1M
Kathir Selvan Subramanian	FL	Interventional Cardiology Physician	$330.1K	$0
James Stern	FL	Plastic Surgery Physician	$153.1K	$0
Mitchell Jacobson	FL	Endocrinology, Diabetes & Metabolism Physician	$118.3K	$0

Promptcare Florida, Inc. — Billing Profile & Reimbursement Data

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Promptcare Florida, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References