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    OpenPayerNPI Medicare & MedicaidAriza Quality Medical Services,inc
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    Ariza Quality Medical Services,inc — Billing Profile & Reimbursement Data

    NPI 1386754000 · Miami, FL · Home Health Agency

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    Ariza Quality Medical Services,inc is a home health agency provider located in Miami, Florida. This profile covers 0 Medicare and 10 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
    OrganizationAriza Quality Medical Services,inc
    Address11401 Sw 40th St Ste 270
    CityMiami
    StateFL
    ZIP33165
    TaxonomyHome Health Agency
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicaid$62.1M
    Medicare$0

    Key Findings

    This provider is effectively single-payer: there is no Medicare billing on file and all recorded program revenue is Medicaid-only, with total Medicaid revenue of $62.1M. The NPI was enumerated on 2006-08-30 (~20 years ago), indicating long tenure in the market and an operational history that aligns with the large Medicaid footprint.

    Revenue is highly concentrated in a few service codes: the precomputed top three Medicaid codes account for 73.3% of this provider's total Medicaid revenue. The three highest-revenue lines are T1019 ($23.6M, 38.1% of Medicaid revenue), S5130 ($15.1M, 24.4%), and T1021 ($6.7M, 10.9%), indicating the vast majority of revenue comes from a narrow set of personal/home-care services.

    The code mix and top revenue drivers point to a business built around personal care and non-skilled home support rather than skilled nursing: T1019 (personal care services per 15 minutes), S5130 (homemaker service per 15 minutes), and T1021 (home health aide/CNA per visit) together dominate receipts. Additional billed codes such as S5135 (companion care), T1004 (qualified nursing aide up to 15 minutes), and S9122 (home health aide per hour) reinforce that the operation focuses on hands-on, ADL/IADL assistance and homemaker/respite support.

    Operational throughput is substantial by any measure: T1019 shows 656.1K claims with an average paid/claim of $36, S5130 has 582.6K claims at $26 avg paid/claim, and T1021 has 321.4K claims at $21 avg paid/claim. Those absolute claim counts support the interpretation of a high-volume home-care operator with significant recurring visit-level activity rather than episodic skilled interventions.

    Competitive standing within Florida is unusually strong for several codes: T1019 ranks #8 of 762 providers in-state (99th percentile; extreme outlier) and S5130 ranks #7 of 1073 providers in-state (99th percentile; extreme outlier), indicating this provider is a dominant statewide player for those personal-care and homemaker services. T1021 ranks #2 of 85 providers in-state (99th percentile) but is labeled as a typical, unremarkable volume for that code, suggesting that while the provider is a high-ranked supplier of aide visits, that service type is commonly offered across many providers.

    Several additional codes are flagged as notable outliers or above-typical volumes: S5135 (172.3K claims, $5.2M revenue) is a 99th percentile extreme outlier, T1004 (109.3K claims, $4.5M revenue) is a 98th percentile extreme outlier, and S9122 (69.8K claims, $4M revenue) is 94th percentile and described as notably above typical state volume. These labels signal concentration risk and market dominance concentrated in non-skilled/home support services.

    Because the business is long-tenured and Medicaid-concentrated, payer mix and contracting risk are centered on state Medicaid program decisions and rate changes rather than Medicare policy shifts. The absence of Medicare billing implies limited exposure to Medicare reimbursement variability but also means the provider’s revenue is more sensitive to state-level Medicaid rate and authorization environments.

    From a network and procurement perspective, the provider’s scale in personal care and homemaker services—both in dollars and extremely high claim counts—makes it a strategic statewide supplier for managed Medicaid plans seeking capacity in in-home personal assistance and respite care. Analysts evaluating partnerships or competitive displacement should prioritize codes T1019, S5130, and T1021 given they drive 73.3% of Medicaid revenue and reflect the provider’s core service offering.

    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.

    10 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…656,080$40$23.6M
    S5130Homemaker service, nos; per 15 minutes582,580$30$15.1M
    T1021Home health aide or certified nurse assistant, per visit321,380$20$6.7M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes172,290$30$5.2M
    T1004Services of a qualified nursing aide, up to 15 minutes109,280$40$4.5M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour69,760$60$4M
    S5150Unskilled respite care, not hospice; per 15 minutes49,130$60$2.8M
    T1005Respite care services, up to 15 minutes4,040$20$88.9K
    T1030Nursing care, in the home, by registered nurse, per diem520$60$28.3K
    S9124Nursing care, in the home; by licensed practical nurse, per hour100$30$2.7K

    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

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour11011017,380$530$13.9M
    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…876013,520$50$2.5M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour213508,550$120$2.2M
    S5130Homemaker service, nos; per 15 minutes71,07011,250$40$1.3M
    T1021Home health aide or certified nurse assistant, per visit29013,610$20$1.2M
    S5150Unskilled respite care, not hospice; per 15 minutes111205,280$50$1M
    T1004Services of a qualified nursing aide, up to 15 minutes105107,390$50$958.8K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes85405,780$40$596.2K
    T1005Respite care services, up to 15 minutes27702,290$40$154K
    T1030Nursing care, in the home, by registered nurse, per diem69120720$60$137.9K

    Nearby Providers

    Other providers in the same ZIP code as Ariza Quality Medical Services,inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Faith Health Care, Inc.FLHome Health Agency$0$46.9M
    Premium Home Health Care IncFLHome Health Agency$0$30.6M
    Bridge Of Care LLCFLCommunity/Behavioral Health Agency$0$16.7M
    Serenity Community Mental Health Center LLCFLMental Health Clinic/Center (Including Community Mental Health Center)$0$13.5M
    Miami Personal Behavioral LLCFLCase Management Agency$0$13.4M
    Providence Homecare LLCFLNursing Care Agency$0$12.6M
    Yovany AbreuFLIn Home Supportive Care Agency$0$9M
    Ap Care Services Corp.FLIn Home Supportive Care Agency$0$8.5M
    Josue MoranFLGerontology Nurse Practitioner$7.4M$0
    Doral Imaging Institute LLCFLRadiology Clinic/Center$1.5M$14.8K

    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
    Ariza Quality Medical Services,inc — 5 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida