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    OpenPayerNPI Medicare & MedicaidVitas Healthcare Corporation Of Florida
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    Vitas Healthcare Corporation Of Florida — Billing Profile & Reimbursement Data

    NPI 1669548053 · Melbourne, FL · Community Based Hospice Care Agency

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    Vitas Healthcare Corporation Of Florida is a community based hospice care agency provider located in Melbourne, Florida. This profile covers 0 Medicare and 10 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
    OrganizationVitas Healthcare Corporation Of Florida
    Address4450 W Eau Gallie Blvd
    CityMelbourne
    StateFL
    ZIP32934
    TaxonomyCommunity Based Hospice Care Agency
    NPI EnumeratedNovember 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$65.2M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and reports $65.2M in lifetime Medicaid revenue, making it effectively single‑payer in the available data. The absence of Medicare volume means financial performance and negotiation leverage are tied almost entirely to Medicaid reimbursement and utilization patterns.

    Revenue is highly concentrated: the top three Medicaid codes account for 92.7% of this provider's total Medicaid revenue. Those top drivers are T2046 ($37.8M, 58.0%), Q5003 ($17.8M, 27.3%) and T2042 ($4.8M, 7.4%), indicating a narrow set of services generates the vast majority of dollars.

    The code mix shows this organization operates primarily as a hospice provider with a strong facility and nursing‑facility footprint. T2046 (Hospice long term care, room and board only; per diem) and Q5003 (Hospice care provided in nursing long term care facility or non‑skilled nursing facility) are the two largest revenue lines, while T2042 (Hospice routine home care; per diem) provides a smaller but material home‑care per‑diem component. Together these codes suggest operations focused on long‑term care settings and routine hospice per‑diems rather than episodic acute care.

    Operational economics differ by code: T2046 produces the largest dollar share with $3304 avg paid/claim across 11.4K claims, showing per‑diem rates drive revenue, whereas Q5003 generates $17.8M from 79.5K claims at $224 avg paid/claim, indicating a volume‑driven revenue stream. T2042 pays $2228 avg/claim but only 2.2K claims, so home‑per‑diem revenue is meaningful per encounter but limited in scale. These contrasts imply different operational levers for revenue management (rate vs. enrollment/volume).

    Competitive standing is mixed by code: the provider is a notable in‑state leader on several hospice lines — Q5003 ranks #2 of 24 providers in‑state (96th percentile) and Q5001 ranks #2 of 219 providers in‑state (100th percentile; labeled an extreme outlier), showing extraordinary volume relative to peers for hospice care in nursing settings and home/residence services. By contrast, its largest single revenue code T2046 ranks #14 of 26 (48th percentile), a typical volume for that specific room‑and‑board per‑diem compared with other Florida providers.

    The concentration of 92.7% of Medicaid revenue into three hospice per‑diem and facility codes creates potential financial exposure if state policy, reimbursement rates, or utilization patterns for those codes change. Because the entity reports no Medicare billing, any adverse Medicaid payment changes would not be offset by Medicare revenue, increasing payer‑specific risk for the organization.

    Smaller service lines contribute only marginally to Medicaid revenue, indicating limited diversification into acute or skilled nursing billing within Medicaid. Examples include G0299 ($126.2K, 0.2%) and 99223 ($78.9K, 0.1%), which are minor relative to the dominant hospice per‑diem and facility codes and suggest the provider does not rely on E/M or discrete skilled nursing services for Medicaid revenue.

    The provider has an established NPI tenure (enumerated 2006-11-28, ~20 years ago), which indicates a long operational history in the market and likely established referral relationships with long‑term care facilities. That longevity, combined with concentrated Medicaid dominance on specific hospice codes, suggests stable specialization in hospice services even as it remains exposed to payer‑level shifts in Medicaid policy or utilization.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2046Hospice long term care, room and board only; per diem11,440$3,300$37.8M
    Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)79,480$220$17.8M
    T2042Hospice routine home care; per diem2,170$2,230$4.8M
    Q5001Hospice or home health care provided in patient's home/residence13,840$320$4.4M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes830$150$126.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…150$520$78.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…420$150$64K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…910$50$47.3K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…140$220$30.7K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…540$30$18.3K

    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

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2046Hospice long term care, room and board only; per diem143013,190$300$9.2M
    Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)2204,400$350$6.6M
    T2042Hospice routine home care; per diem7102,500$550$2.1M
    Q5001Hospice or home health care provided in patient's home/residence2220250$200$123.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…7881,500470$30$87.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…7831,460190$70$58.6K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…35120200$30$30K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…117380320$20$23.6K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…22020$170$17.8K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes111200960$10$14.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vitas Healthcare Corporation Of Florida, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vitas Healthcare Corporation Of FloridaFLCommunity Based Hospice Care Agency$0$47.1M
    Vitas Healthcare Corporation Of OhioOHCommunity Based Hospice Care Agency$0$44.2M
    Vitas Healthcare Corporation Of FloridaFLCommunity Based Hospice Care Agency$0$36.9M
    Vitas Healthcare Corporation Of FloridaFLCommunity Based Hospice Care Agency$0$18.6M
    Vitas Healthcare Corporation AtlanticNJCommunity Based Hospice Care Agency$0$11.1M
    Vitas Healthcare Corporation MidwestKSCommunity Based Hospice Care Agency$0$5.6M
    Vitas Healthcare Corporation MidwestWICommunity Based Hospice Care Agency$0$5.1M

    Nearby Providers

    Other providers in the same ZIP code as Vitas Healthcare Corporation Of Florida, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Services Of America, LLCFLHome Health Agency$0$16.4M
    Boris HavkinFLUrology Physician$2.3M$0
    Suncoast Pathology Associates IncFLClinical Medical Laboratory$2M$75.9K
    Mark MinorFLAllergy Physician$85.2K$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
    Vitas Healthcare Corporation Of Florida — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida