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.

Residential Plaza At Blue Lagoon (NPI 1548546559)

Field	Value
Entity Type	Organization
Organization	Residential Plaza At Blue Lagoon
Address	5617 Nw 7th St
City	Miami
State	FL
ZIP	33126
Taxonomy	Assisted Living Facility
NPI Enumerated	October 24, 2011

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2030	Assisted living, waiver; per month	6,710	$1,340	$9M
T1020	Personal care services, per diem, 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…	2,270	$370	$842.6K

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

Residential Plaza At Blue Lagoon — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2030	Assisted living, waiver; per month	3	730	640	$1,120	$1.2M
T1020	Personal care services, per diem, 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…	19	140	330	$160	$564.1K

Nearby Providers

Other providers in the same ZIP code as Residential Plaza At Blue Lagoon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epicmd Technologies LLC	FL	Transportation Broker	$0	$55M
Home Care Plus Inc.	FL	Home Health Agency	$0	$37M
Dd Health Home Care Inc	FL	Home Health Agency	$0	$18.2M
Professional Solutions Home Health Agency Inc	FL	Home Health Agency	$0	$17.8M
Health Med Home Care LLC	FL	Home Health Agency	$0	$16.8M
Florida Behavioral Center, Inc	FL	Community/Behavioral Health Agency	$0	$16M
Odyssey Healthcare Of Marion County, LLC	FL	Community Based Hospice Care Agency	$0	$15.8M
Us Med, LLC	FL	Community/Retail Pharmacy	$0	$12.9M
Lifetime Solutions Agency, LLC	FL	Community/Behavioral Health Agency	$0	$10.8M
Excellent Care Home Health Services, Inc	FL	Home Health Agency	$0	$8.9M

Residential Plaza At Blue Lagoon — Billing Profile & Reimbursement Data

Sign up for Residential Plaza At Blue Lagoon — Billing Profile & Reimbursement Data policy alerts

Residential Plaza At Blue Lagoon — Billing Profile & Reimbursement Data

Sign up for Residential Plaza At Blue Lagoon — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References