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.

Peds To Go Inc (NPI 1609953066)

Field	Value
Entity Type	Organization
Organization	Peds To Go Inc
Address	4448 Edgewater Dr
City	Orlando
State	FL
ZIP	32804
Taxonomy	Infusion Therapy Registered Nurse
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$106.5M
Medicare	$0

Key Findings

PEDS TO GO INC reports $106.5M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) operation in the available data. The absence of Medicare activity means all analyzed claims and revenue patterns should be interpreted within the Medicaid context rather than a mixed-payer footprint.

Revenue for this provider is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. The available detail shows S9124 ($75.7M, 71.1% of Medicaid revenue) and S9123 ($30.8M, 28.9% of Medicaid revenue) together represent the entirety of reported Medicaid earnings.

The billed services are concentrated in per-hour home nursing codes: S9124 (Nursing care, in the home; by licensed practical nurse, per hour) and S9123 (Nursing care, in the home; by registered nurse, per hour). Although the provider’s taxonomy is Infusion Therapy Registered Nurse, the claim mix suggests the operational model is dominated by in-home, hourly nursing care provided by both LPNs and RNs rather than discrete procedure-based infusion CPT codes.

Claim volumes and average payments indicate a high-volume home nursing business: S9124 shows 110.9K claims at $682 avg paid/claim and S9123 shows 50.9K claims at $605 avg paid/claim. Those volumes combined correspond to the $75.7M and $30.8M revenues reported for the two codes, reflecting sustained, repeated-per-hour billing rather than one-off episodes.

On competitive standing within the state, S9124 ranks #3 of 110 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code), marking the provider as a dominant statewide outlier for LPN home-care hours. S9123 ranks #5 of 104 providers in-state (96th percentile; notably above typical state volume for this code), indicating the provider is also a major high-volume participant for RN home-care hours.

The provider’s long-tenure NPI (enumerated on 2006-11-01 (~20 years ago)) suggests it is an established Medicaid billing entity in Florida and likely has sustained operational relationships with state Medicaid programs. That longevity, combined with concentrated code-level scale, implies institutional experience in delivering in-home nursing services.

Because two per-hour home nursing codes account for 100.0% of reported Medicaid revenue, the provider’s financial performance is highly sensitive to reimbursement policy, rate changes, or utilization shifts for S9124 and S9123. Analysts monitoring this entity should track state Medicaid payment rules and utilization trends for per-hour home nursing codes, as any regulatory or rate adjustment for these specific codes could materially affect revenue.

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
S9124	Nursing care, in the home; by licensed practical nurse, per hour	110,940	$680	$75.7M
S9123	Nursing 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)	50,940	$610	$30.8M

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

Peds To Go Inc — 2 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
S9124	Nursing care, in the home; by licensed practical nurse, per hour	3	110	17,380	$530	$13.9M
S9123	Nursing 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)	5	100	3,400	$580	$6.4M

Nearby Providers

Other providers in the same ZIP code as Peds To Go Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crystal Lake Supportive Environments	FL	Behavior Analyst	$0	$73.5M
Children's Home Medical Equipment Inc	FL	Durable Medical Equipment & Medical Supplies	$0	$52.3M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.9M
Family First Homecare, LLC	FL	Nursing Care Agency	$0	$9.1M
Orlando Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$0
Samuel Martin	FL	Surgery Physician	$825K	$0
Total Sleep Management Inc	FL	Sleep Disorder Diagnostic Clinic/Center	$373.4K	$325.1K
Hugo Hart	FL	Surgery Physician	$541.3K	$0
Michael Shumski	FL	Ophthalmology Physician	$497.7K	$0
Rishi Sharma	FL	General Practice Physician	$450.5K	$0

Peds To Go Inc — Billing Profile & Reimbursement Data

Sign up for Peds To Go Inc — Billing Profile & Reimbursement Data policy alerts

Peds To Go Inc — Billing Profile & Reimbursement Data

Sign up for Peds To Go Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References