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.

Sun Care LLC (NPI 1710209887)

Field	Value
Entity Type	Organization
Organization	Sun Care LLC
Address	4722 Nw 2nd Ave Ste C108
City	Boca Raton
State	FL
ZIP	33431
Taxonomy	Home Health Agency
NPI Enumerated	February 17, 2010

Payer Source	Total Paid
Medicaid	$37.8M
Medicare	$0

Key Findings

SUN CARE LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file while total Medicaid revenue is $37.8M, indicating the business relies almost entirely on Medicaid as its revenue source. This concentration in one payer should shape contract and risk assessment priorities for payers and partners.

Revenue is highly concentrated in a narrow set of home-care nursing codes: the top three Medicaid codes (S9123, S9124, T1004) account for 96.9% of the provider's total Medicaid revenue. Specifically, S9123 generated $18.1M (47.9%), S9124 generated $16.8M (44.4%), and T1004 generated $1.7M (4.6%) of Medicaid revenue, so any changes to coverage or rates for these codes would materially affect the provider.

The code mix points to an operation focused on in-home nursing labor rather than therapy or clinic-based services: the dominant codes are S9123 (nursing care in the home by registered nurse) and S9124 (by licensed practical nurse), supported by T1004 (qualified nursing aide services). This implies the provider’s operational model is staffed and organized around RN/LPN hour-based visits and aide support rather than a broad mix of home health therapies.

Competitive standing for S9123 is relatively strong within Florida: the provider ranks #15 of 104 for S9123 and sits at the 86th percentile, though the data characterizes this as typical, unremarkable volume. That combination suggests SUN CARE is an established, above-typical performer for RN home nursing in-state but not uniquely dominant.

For S9124 and T1004 the provider shows solid but not top-tier presence: S9124 produced $16.8M and ranks #38 of 110 (66th percentile) and is described as typical, unremarkable volume; T1004 produced $1.7M and ranks #153 of 511 (70th percentile) and is also shown as typical, unremarkable volume. These placements indicate meaningful scale for LPN and aide services regionally without placing the provider among the very largest state operators for those codes.

Several ancillary personal-care and homemaker codes represent small portions of revenue: S5130 produced $878.9K (2.3% of Medicaid revenue) and ranks #529 of 1073 (51th percentile, typical, unremarkable volume), while T1019 produced $288.6K (0.8%) and ranks #567 of 762 (26th percentile, typical, unremarkable volume). These lines appear to be complementary to the core nursing services rather than major revenue drivers.

There are limited claims for home health therapy assistant and physical therapist home-health codes with no recorded payments: G0151 (22 claims) and G0157 (90 claims) both show $0 avg paid/claim and $0 revenue (0.0% of Medicaid revenue) and rank near the lower end of peers (G0151 #187 of 189, 1th percentile; G0157 #134 of 154, 13th percentile). This pattern may reflect denials, bundled payment handling, coding/reporting artifacts, or nonreimbursed submissions rather than active therapy revenue.

SUN CARE has an established operational history with NPI enumeration on 2010-02-17 (~16 years ago), which, combined with the concentrated revenue mix, suggests a mature niche home health agency that has specialized and scaled around in-home nursing labor over time. Payers evaluating network participation or rate adjustments should weigh the provider's long tenure and heavy Medicaid reliance against its concentration in a few hour-based nursing codes.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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)	27,680	$650	$18.1M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	29,820	$560	$16.8M
T1004	Services of a qualified nursing aide, up to 15 minutes	17,140	$100	$1.7M
S5130	Homemaker service, nos; per 15 minutes	11,570	$80	$878.9K
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…	2,800	$100	$288.6K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	20	$0	$0
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	90	$0	$0

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

Sun Care LLC — 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

7 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	38	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)	15	100	3,400	$580	$6.4M
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…	567	760	13,520	$50	$2.5M
S5130	Homemaker service, nos; per 15 minutes	529	1,070	11,250	$40	$1.3M
T1004	Services of a qualified nursing aide, up to 15 minutes	153	510	7,390	$50	$958.8K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	187	190	330	$1	$480
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	134	150	710	$0	$0

Nearby Providers

Other providers in the same ZIP code as Sun Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Family Pharmacy LLC	FL	Community/Retail Pharmacy	$30.5M	$560
Josy Enterprises Ii Inc	FL	Home Health Agency	$0	$18.8M
J&r Carefinders	FL	Nursing Care Agency	$0	$14.8M
Nhean Chea	FL	Surgery Physician	$2.7M	$0
William Sunshine	FL	Rheumatology Physician	$2.1M	$0
Sean Sukal	FL	MOHS-Micrographic Surgery Physician	$2M	$0
David Makover	FL	Rheumatology Physician	$1.9M	$0
Jonathan Seckler	FL	Cardiovascular Disease Physician	$1.3M	$0
Jeffrey Fromowitz	FL	Dermatology Physician	$1.1M	$0
Patricio Espinosa	FL	Neuromusculoskeletal Medicine & OMM Physician	$948.9K	$0

Sun Care LLC — Billing Profile & Reimbursement Data

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Sun Care LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References