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    OpenPayerNPI Medicare & MedicaidLovable Family Home Care LLC
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    Lovable Family Home Care LLC — Billing Profile & Reimbursement Data

    NPI 1124460548 · Pembroke Pines, FL · Developmentally Disabled Services Day Training Agency

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    Lovable Family Home Care LLC is a developmentally disabled services day training agency provider located in Pembroke Pines, 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
    OrganizationLovable Family Home Care LLC
    Address9105 Taft St
    CityPembroke Pines
    StateFL
    ZIP33024
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedJuly 26, 2013

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

    Payer SourceTotal Paid
    Medicaid$83.6M
    Medicare$0

    Key Findings

    LOVABLE FAMILY HOME CARE LLC is effectively a single-payer Medicaid operator: it reports no Medicare billing on file and $83.6M in lifetime Medicaid revenue, with an NPI enumerated on 2013-07-26 (~13 years ago), indicating over a decade of active billing history in Medicaid programs. This concentration means Medicaid policy, authorization rules, and rate changes will have outsized impact on its business performance.

    Revenue is heavily concentrated in a small set of home- and community-based service codes: the top three Medicaid codes (T1019, S5130, T1004) together account for 89.3% of the provider’s total Medicaid revenue. Individually those codes are T1019 $45.7M (54.7% of Medicaid revenue), S5130 $20.9M (25.0%), and T1004 $8M (9.6%), so most revenue is generated by recurring, time-based personal care and aide services.

    The code mix and descriptions indicate LOVABLE FAMILY HOME CARE operates as a high-volume, time-based home care and support services provider for developmental disability populations: T1019 (personal care services per 15 minutes), S5130 (homemaker service per 15 minutes), and T1004 (qualified nursing aide up to 15 minutes) together point to an operational model centered on frequent, short-interval encounters rather than episodic skilled procedures. This suggests a staffing model focused on large numbers of aides/companions and scheduling systems optimized for 15-minute billing increments.

    Operational scale is substantial: claim volumes for the top codes are extremely large (T1019 994K claims, S5130 995.6K claims, T1004 151.1K claims) with average paid/claim of $46, $21, and $53 respectively, indicating very high throughput of billable units and significant recurring labor costs tied to per-15-minute reimbursement. These volumes align with a labor- and time-intensity business where margins will be sensitive to wage and travel costs as well as administrative capacity to manage near-million claim counts.

    Competitive standing within Florida is dominant for its main service lines. LOVABLE ranks #6 of 762 providers for T1019 (99th percentile, extreme outlier), #3 of 1073 for S5130 (100th percentile, extreme outlier), and #4 of 511 for T1004 (99th percentile, extreme outlier), which together characterize it as a major statewide provider and an extreme outlier in volume for these home- and personal-care codes.

    Several ancillary home-support codes further reinforce its service breadth and market prominence: S5135 (companion care) generated $4.6M (5.5% of Medicaid revenue) and ranks #5 of 540 providers (99th percentile, extreme outlier); S5150 (unskilled respite care) generated $4M (4.8%) and ranks #4 of 123 (98th percentile, notably above typical); and T1005 (respite care) generated $400.5K (0.5%) and ranks #2 of 74 (99th percentile, notably above typical). These additional codes show the provider offers a broad set of non-skilled support services beyond core personal care and homemaking.

    The combination of extreme statewide rank positions and the dominance of per-15-minute personal care codes implies both competitive leverage in scale and vulnerability to changes in Medicaid utilization management or rate adjustments for time-based services. Given that the top three codes account for 89.3% of Medicaid revenue, any policy, authorization, or rate change focused on time-based home care services could materially affect the provider’s revenue profile.

    From a payer-analyst perspective, key operational indicators to monitor are authorization patterns and hours-per-beneficiary for T1019 and S5130, staffing ratios and payroll costs tied to T1004 and companion/respite codes, and any state-level program changes impacting per-15-minute reimbursement — these levers will drive both cost and access outcomes given the provider’s reliance on high-frequency, low-unit-value encounters.

    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…994,030$50$45.7M
    S5130Homemaker service, nos; per 15 minutes995,570$20$20.9M
    T1004Services of a qualified nursing aide, up to 15 minutes151,100$50$8M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes217,670$20$4.6M
    S5150Unskilled respite care, not hospice; per 15 minutes137,160$30$4M
    T1005Respite care services, up to 15 minutes16,690$20$400.5K
    T1003Lpn/lvn services, up to 15 minutes1,020$30$30.6K

    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…676013,520$50$2.5M
    S5130Homemaker service, nos; per 15 minutes31,07011,250$40$1.3M
    S5150Unskilled respite care, not hospice; per 15 minutes41205,280$50$1M
    T1004Services of a qualified nursing aide, up to 15 minutes45107,390$50$958.8K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes55405,780$40$596.2K
    T1005Respite care services, up to 15 minutes2702,290$40$154K
    T1003Lpn/lvn services, up to 15 minutes26305,530$1$47.7K

    Nearby Providers

    Other providers in the same ZIP code as Lovable Family Home Care LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Supra Home Health, Inc.FLHome Health Agency$0$23.1M
    Millenium Clinic, IncFLCommunity/Behavioral Health Agency$0$17.1M
    South Broward Hospital DistrictFLGeneral Acute Care Hospital$0$15M
    South Florida Pediatric Homecare Inc.FLHome Health Agency$0$13.8M
    Assisting Broward, LLCFLHome Health Agency$0$10M
    E-lab Of Florida Inc.FLClinical Medical Laboratory$7.4M$15.2K
    Michel Castillo MadrigalFLFamily Nurse Practitioner$818.2K$0
    Michael HallFLRadiation Oncology Physician$629.6K$0
    Sara MalagoldFLClinical Psychologist$371.4K$103.3K
    Ketang ModiFLDiagnostic Radiology Physician$292K$0

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Lovable Family Home Care LLC — 6 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida