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.

Actell Elderly Care, Inc (NPI 1427204122)

Field	Value
Entity Type	Organization
Organization	Actell Elderly Care, Inc
Address	2715 Michigan Ave
City	Kissimmee
State	FL
ZIP	34744
Taxonomy	Home Health Agency
NPI Enumerated	August 13, 2008

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal 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…	41,090	$80	$3.1M
T1004	Services of a qualified nursing aide, up to 15 minutes	30,860	$100	$3.1M
S5130	Homemaker service, nos; per 15 minutes	46,380	$60	$2.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	11,930	$60	$704.1K
T1005	Respite care services, up to 15 minutes	300	$60	$18.9K

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

Actell Elderly Care, Inc — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal 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…	194	760	13,520	$50	$2.5M
S5130	Homemaker service, nos; per 15 minutes	204	1,070	11,250	$40	$1.3M
T1004	Services of a qualified nursing aide, up to 15 minutes	82	510	7,390	$50	$958.8K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	183	540	5,780	$40	$596.2K
T1005	Respite care services, up to 15 minutes	66	70	2,290	$40	$154K

Nearby Providers

Other providers in the same ZIP code as Actell Elderly Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reena Varghese	FL	Family Nurse Practitioner	$1.5M	$0
Francis Mogollon Duffo	FL	Medical Oncology Physician	$803.9K	$0
Abdul Ezeldin	FL	Interventional Cardiology Physician	$568.7K	$51.3K
Christopher Chappel	FL	Family Medicine Physician	$550.5K	$0
Mont Cartwright	FL	Ophthalmology Physician	$286.1K	$140.6K
Paul Webster	FL	Pain Medicine (Anesthesiology) Physician	$419.9K	$0
Doctors Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$199.9K	$214.3K
Yanara Barreras	FL	Corneal and Contact Management Optometrist	$337.7K	$7.1K
Nancy Dorcelus	FL	Nurse Practitioner	$210K	$0
Michelle Esperanza	FL	Optometrist	$97.3K	$79.1K

Actell Elderly Care, Inc — Billing Profile & Reimbursement Data

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Actell Elderly Care, 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