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 Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Vita Healthcare Inc (NPI 1386892933)

Field	Value
Entity Type	Organization
Organization	Vita Healthcare Inc
Address	Vita Healthcare Inc
City	San Juan
State	PR
ZIP	00909
Taxonomy	Home Health Agency
NPI Enumerated	September 8, 2008

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Key Findings

VITA HEALTHCARE INC reports no Medicare billing on file and $9.4M in lifetime Medicaid revenue, making its operating scale effectively single-payer (Medicaid) in the available dataset. Analysts should treat Medicaid as the sole recorded revenue source when benchmarking this entity against peers or modeling payer mix exposure.

Revenue is highly concentrated: the top three Medicaid codes account for 98.1% of the provider's Medicaid revenue, driven by S9351 ($4.6M, 48.8%), S9560 ($3.1M, 33.5%), and S9542 ($1.5M, 15.7%). This level of concentration indicates that a very small set of per-diem home therapy services generate virtually all reported Medicaid income.

The code mix (S9351, S9560, S9542) and their descriptions point to a business built around home infusion and home injectable therapy lines that bundle administrative services, professional pharmacy services, care coordination, and supplies, with drugs and nursing visits billed separately. Operationally, this suggests the provider’s revenue is concentrated in per-diem care coordination and pharmacy/administrative management for home-based therapies rather than drug reimbursement.

Competitive standing for S9560 is notable: the provider ranks #1 of 2 in-state for S9560 and sits at the 100th percentile with a characterization of "typical, unremarkable volume for this code," implying it is one of the primary state participants for hormonal home injectable therapy but with volume that is within expected norms. This contrasts with the lack of multi-provider comparison for the other leading codes.

For S9351 and S9542 the provider also ranks #1 but those codes are reported as #1 of 1 providers in-state with a 0th percentile/no state peer volume comparison available; as the sole in-state reporter for these per-diem home infusion lines, the provider appears to be the only entity submitting these specific codes in the state dataset, which limits benchmarking but indicates local uniqueness in service reporting.

Code-level anomalies warrant attention: 96372 appears with 9K claims, $0 avg paid/claim, $0 revenue and ranks #2 of 163 providers in-state (99th percentile; "extreme outlier, far above typical state volume for this code"). This pattern—very high claim volume combined with $0 recorded payments—should be investigated further for data quality, billing practice differences, or adjudication nuances rather than being interpreted as a revenue driver.

Smaller supplemental lines include S9208 (585 claims, $312 avg paid/claim, $182.5K revenue, 1.9% of Medicaid revenue) and occasional codes like J2405 with claims but $0 paid; these represent a minor share of revenue and may reflect specialized episodes of care or quirks in reimbursement capture. Together with the dominant per-diem codes, they suggest a narrow clinical focus with a few ancillary services.

The NPI was enumerated on 2008-09-08 (~18 years ago), indicating long tenure in the market. Combined with the concentrated Medicaid per-diem footprint, this longevity suggests an established home infusion/home injectable services operation that has maintained a sustained Medicaid billing relationship over many years.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9351	Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment…	20,710	$220	$4.6M
S9560	Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment…	22,110	$140	$3.1M
S9542	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	9,910	$150	$1.5M
S9208	Home management of preterm labor, including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded…	590	$310	$182.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	8,950	$0	$0
J2405	Injection, ondansetron hydrochloride, per 1 mg	190	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

Vita Healthcare Inc — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9351	Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment…	1	10	20,710	$220	$4.6M
S9560	Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment…	1	10	11,220	$140	$1.6M
S9542	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	1	10	9,910	$150	$1.5M
S9208	Home management of preterm labor, including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded…	1	10	590	$310	$182.7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	2	160	150	$10	$5.5K
J2405	Injection, ondansetron hydrochloride, per 1 mg	27	40	410	$1	$5.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Best Option Healthcare Puerto Rico LLC	PR	Home Infusion Therapy Pharmacy	$0	$41.5M
Eladio Perez Cruz	PR	Gastroenterology Physician	$2.1K	$2.5M
Felix Lugo-adams	PR	Interventional Cardiology Physician	$3.7K	$1.9M
Farmacia San Rafael Santurce, Inc	PR	Community/Retail Pharmacy	$0	$1.5M
Lauren Lynch	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
St Gianna Pediatrics	PR	Pediatrics Physician	$0	$1.3M
Jaime Ruiz-rodriguez	PR	Cardiovascular Disease Physician	$17.7K	$1.2M
Empresas Alvaro Torres	PR	Speech-Language Pathologist	$0	$1.1M
Best Option Healthcare Puerto Rico LLC	PR	Home Health Agency	$0	$1.1M
Ag Thyroid & Endocrine Clinic LLC	PR	Endocrinology, Diabetes & Metabolism Physician	$0	$983.2K

Vita Healthcare Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References