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    OpenPayerNPI Medicare & MedicaidHarmony Homes Of Miami, Inc
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    Harmony Homes Of Miami, Inc — Billing Profile & Reimbursement Data

    NPI 1164612552 · Miami, FL · Home Health Agency

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    Harmony Homes Of Miami, Inc is a home health agency provider located in Miami, Florida. This profile covers 0 Medicare and 13 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
    OrganizationHarmony Homes Of Miami, Inc
    Address2331 Sw 82nd Pl
    CityMiami
    StateFL
    ZIP33155
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 31, 2007

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

    Payer SourceTotal Paid
    Medicaid$41.7M
    Medicare$0

    Key Findings

    HARMONY HOMES OF MIAMI, INC shows effectively single-payer activity: there is no Medicare billing on file while the provider reports $41.7M in lifetime Medicaid revenue, indicating the organization operates almost entirely in the Medicaid home- and personal-care market rather than the Medicare space. This concentration means any analysis of their financials or utilization should focus on Medicaid reimbursement and policy dynamics.

    Revenue is highly concentrated in a small set of Medicaid line items: the precomputed top three Medicaid codes account for 75.3% of the provider's total Medicaid revenue. The three revenue drivers are T1019 ($18.8M, 45.2% of Medicaid revenue), S5130 ($9M, 21.6%), and S9122 ($3.5M, 8.4%), so these specific service lines dominate the organization’s topline.

    The dominant codes (T1019, S5130, S9122) describe labor-intensive, non-skilled in-home supports—personal care services per 15 minutes, homemaker service per 15 minutes, and home health aide per hour—suggesting the provider’s business model is built around high-volume aide and homemaker visits rather than skilled nursing or therapy. High utilization of per-15-minute and per-hour codes implies operations optimized for frequent, short-duration encounters and large staffing for unskilled care delivery.

    In statewide competitive terms the provider is a major outlier on key personal-care lines: T1019 ranks #11 of 762 providers in-state (99th percentile, notably above typical state volume) and S5130 ranks #11 of 1073 providers in-state (99th percentile; labeled an extreme outlier, far above typical state volume). These rankings indicate HARMONY HOMES is a dominant provider of Medicaid personal-care/homemaker services within Florida.

    Claim volumes and unit payments underscore a high-volume, low-unit-rate model: T1019 shows 409.4K claims at $46 avg paid/claim and S5130 shows 360.5K claims at $25 avg paid/claim. The combination of very large claim counts and modest per-claim payments explains how relatively low-paid, per-interval services can generate multi-million-dollar revenue totals for this provider.

    Medically skilled and therapy lines represent a minimal revenue footprint for this provider: several therapy and skilled-nursing codes (G0299, G0157, G0151, Q5001) show claims but $0 avg paid/claim and $0 reported revenue, and per-diem nursing codes such as T1030 and T1031 together account for only a small fraction of revenue. This pattern reinforces that the provider’s capacity and billing focus are centered on non-skilled home supports rather than reimbursed skilled clinical services.

    The provider’s operational profile presents concentration risk: with $41.7M of lifetime revenue coming solely from Medicaid and the majority of that tied to three personal-care codes, changes in Medicaid rates, coding policy, or program contracts for T1019/S5130/S9122 could disproportionately affect revenue. Payers and network managers evaluating this entity should consider both regulatory sensitivity and the business impact of any rate or eligibility adjustments to those specific codes.

    HARMONY HOMES has a long tenure in the market, with its NPI enumerated on 2007-07-31 (~19 years ago). Combined with the provider’s elevated statewide ranks and very high claim volumes, the longevity supports a picture of an established, entrenched operator in Florida’s Medicaid home- and personal-care sector.

    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.

    13 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…409,350$50$18.8M
    S5130Homemaker service, nos; per 15 minutes360,550$30$9M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour62,700$60$3.5M
    T1004Services of a qualified nursing aide, up to 15 minutes79,630$40$2.9M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes100,660$30$2.6M
    T1021Home health aide or certified nurse assistant, per visit123,550$20$2.3M
    S5150Unskilled respite care, not hospice; per 15 minutes48,760$40$2M
    T1030Nursing care, in the home, by registered nurse, per diem6,270$40$244.3K
    T1031Nursing care, in the home, by licensed practical nurse, per diem6,610$30$224.9K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes410$0$0

    Showing 1–10 of 13

    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

    13 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…1176013,520$50$2.5M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour273508,550$120$2.2M
    S5130Homemaker service, nos; per 15 minutes111,07011,250$40$1.3M
    T1021Home health aide or certified nurse assistant, per visit59013,610$20$1.2M
    S5150Unskilled respite care, not hospice; per 15 minutes121205,280$50$1M
    T1004Services of a qualified nursing aide, up to 15 minutes185107,390$50$958.8K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes135405,780$40$596.2K
    T1031Nursing care, in the home, by licensed practical nurse, per diem7301,390$30$214.1K
    T1030Nursing care, in the home, by registered nurse, per diem14120720$60$137.9K
    Q5001Hospice or home health care provided in patient's home/residence57220250$200$123.4K

    Showing 1–10 of 13

    Nearby Providers

    Other providers in the same ZIP code as Harmony Homes Of Miami, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Variety Children's HospitalFLChildren's Hospital$0$175.3M
    Nicklaus Children's Pediatric Specialists, LLCFLPediatric Emergency Medicine (Pediatrics) Physician$0$66.2M
    Alternative Medical Healthcare Services, Corp.FLHome Health Agency$0$61.9M
    Hha Home Services CorpFLDevelopmentally Disabled Services Day Training Agency$0$30M
    Bocasa Gourmet, LLC.FLAttendant Care Provider$0$24.8M
    Continental Home Health Care, Inc.FLHome Health Agency$0$23.4M
    Preferred Home Health Care, Inc.FLHome Health Agency$0$15.7M
    First Quality Medical Supplies, IncFLDurable Medical Equipment & Medical Supplies$0$14.8M
    Syx, Corp.FLCommunity/Behavioral Health Agency$0$13.4M
    Morning Star Centers Inc.FLMental Health Clinic/Center (Including Community Mental Health Center)$0$12.6M

    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
    Harmony Homes Of Miami, Inc — 5 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida