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    OpenPayerNPI Medicare & MedicaidPreferred Touch Home Care, Inc
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    Preferred Touch Home Care, Inc — Billing Profile & Reimbursement Data

    NPI 1447522685 · Brandon, FL · Home Health Agency

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    Preferred Touch Home Care, Inc is a home health agency provider located in Brandon, Florida. This profile covers 0 Medicare and 4 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
    OrganizationPreferred Touch Home Care, Inc
    Address510 Vonderburg Drive
    CityBrandon
    StateFL
    ZIP33511
    TaxonomyHome Health Agency
    NPI EnumeratedFebruary 3, 2012

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

    Payer SourceTotal Paid
    Medicaid$61.9M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: there is no Medicare billing on file and total Medicaid revenue is $61.9M, so Medicaid accounts for the entirety of reported public-payer activity. The absence of Medicare billing means comparisons to national Medicare peers are not applicable and financial exposure is concentrated in state Medicaid policy and payer relationships.

    Revenue is highly concentrated in a very small code set: the provider's top three Medicaid codes (S9124, S9123, T1030) account for 99.9% of total Medicaid revenue. This concentration indicates that a handful of service lines—not a broad mix of procedures—drive nearly all of the reported Medicaid receipts.

    The code mix (S9123 and S9124 as the two largest codes) points to a core business built around in-home nursing services, with both registered nurse and licensed practical nurse hourly visits constituting the primary service offering. T1030 (nursing care, per diem) contributes marginally to revenue, reinforcing that point-of-care is predominantly hourly in‑home nursing rather than bundled per-diem or alternative home health modalities.

    S9124 activity is large in absolute terms: 60.3K claims, $533 avg paid/claim, generating $32.1M (51.9% of the provider's Medicaid revenue) and ranking #13 of 110 providers in-state (89th percentile). While this code represents the single largest revenue line, its rank/percentile characterization is labeled "typical, unremarkable volume," suggesting the provider participates at a sizable but not exceptional level for LPN home nursing relative to peers.

    S9123 is similarly high-volume and notable for its competitive standing: 47.2K claims, $629 avg paid/claim, $29.7M (47.9% of Medicaid revenue), and a rank of #6 of 104 providers in-state (95th percentile). The data label for this code is "notably above typical state volume," indicating the provider is a major statewide participant specifically in RN hourly home nursing services.

    Smaller service lines generate only marginal revenue: T1030 reports 1.4K claims, $46 avg paid/claim, $64.8K (0.1% of revenue) and ranks #44 of 118 (63th percentile), while G0238 shows 700 claims, $70 avg paid/claim, $49K (0.1% of revenue) and ranks #15 of 21 (30th percentile). These figures indicate limited activity in per-diem nursing and respiratory therapeutic procedures, confirming that ancillary home therapy services are not a material revenue driver for this agency.

    Competitive positioning is mixed: the provider ranks in the top decile for S9123 (#6, 95th percentile) which signals a strong presence in RN hourly home nursing, but ranks are more modest for S9124 (#13, 89th percentile) and marginal for other codes. Taken together, this profile describes a focused, high-volume nursing home‑care operator that is a prominent RN-hourly provider in-state but not necessarily dominant across broader home health service categories.

    The NPI tenure (enumerated 2012-02-03 (~14 years ago)) indicates an established operating history in the market. Given the heavy reliance on two nursing codes for nearly all Medicaid revenue, analysts should note the provider's operational and reimbursement risk is sensitive to changes in Medicaid coverage, visit utilization patterns, or state-level coding policy affecting S9123 and S9124.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour60,280$530$32.1M
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)47,180$630$29.7M
    T1030Nursing care, in the home, by registered nurse, per diem1,410$50$64.8K
    G0238Therapeutic procedures to improve respiratory function, other than described by G0237, one on one, face to face, per 15 minutes (includes monitoring)700$70$49K

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour1311017,380$530$13.9M
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)61003,400$580$6.4M
    G0238Therapeutic procedures to improve respiratory function, other than described by G0237, one on one, face to face, per 15 minutes (includes monitoring)15201,510$50$298.5K
    T1030Nursing care, in the home, by registered nurse, per diem44120720$60$137.9K

    Nearby Providers

    Other providers in the same ZIP code as Preferred Touch Home Care, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family First Homecare, LLCFLNursing Care Agency$0$78.7M
    Galencare, Inc.FLGeneral Acute Care Hospital$0$34.7M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.8M
    Bay Area Behavioral ServicesFLMental Health Counselor$0$11.3M
    Dva Healthcare Renal Care IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.8M
    Exodus Women's Center, Inc.FLObstetrics & Gynecology Physician$0$9.1M
    Vipul JoshiFLSpecialist$5.6M$0
    Bay Area Surgicenter, LLCFLAmbulatory Surgical Clinic/Center$2.7M$893.7K
    Marguerite KohlheppFLRetina Specialist (Ophthalmology) Physician$2.7M$0
    Shalin ShahFLMedical Oncology Physician$1.8M$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
    6 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Preferred Touch Home Care, Inc — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida