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    OpenPayerNPI Medicare & MedicaidCaring Professional Services Inc
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    Caring Professional Services Inc — Billing Profile & Reimbursement Data

    NPI 1871546648 · Hialeah, FL · Home Health Agency

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    Caring Professional Services Inc is a home health agency provider located in Hialeah, Florida. This profile covers 0 Medicare and 12 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
    OrganizationCaring Professional Services Inc
    Address1681 W 37th St # 1314
    CityHialeah
    StateFL
    ZIP33012
    TaxonomyHome Health Agency
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicaid$158.8M
    Medicare$0

    Key Findings

    CARING PROFESSIONAL SERVICES INC is effectively a Medicaid-focused home health agency: it has no Medicare billing on file and reports $158.8M in lifetime Medicaid revenue, indicating its operations and revenue base are concentrated almost entirely in Medicaid-funded long-term/home-based personal care. The provider's NPI was enumerated on 2006-05-19 (~20 years ago), signaling long tenure in the market which supports established relationships with state Medicaid programs and consistent service delivery over time.

    Revenue is highly concentrated in a few personal-care and homemaker service codes: the top 3 Medicaid codes by revenue account for 81.1% of the provider's total Medicaid revenue. In particular, T1019 alone represents $80.5M (50.7% of Medicaid revenue), making this single personal-care code the dominant revenue driver for the organization.

    Service mix reflects high-volume personal care and homemaker operations rather than skilled nursing: the largest revenue codes are T1019 (personal care services, per 15 minutes), S5130 (homemaker service, per 15 minutes), and S5135 (companion care, per 15 minutes). These codes emphasize non-skilled ADL/IADL support and household assistance, suggesting the agency specializes in extensive personal assistance and homemaker programs rather than medically skilled home health services.

    The provider is a statewide outlier and likely a market leader for several home- and community-based service codes: CARING PROFESSIONAL SERVICES ranks #2 of 762 in-state for T1019 (100th percentile, extreme outlier) and ranks #1 of 1073 for S5130 and #1 of 540 for S5135 (both 100th percentile, extreme outliers). These rankings indicate dominance in volume for homemaker and companion-care services within Florida's Medicaid ecosystem.

    Multiple additional codes show sustained above-typical volume for in-home aide and respite services: T1004 ($12.7M, 8.0% of Medicaid revenue) ranks #1 of 511 providers (100th percentile, extreme outlier), S5150 ($10.8M, 6.8%) ranks #1 of 123 (100th percentile, extreme outlier), and T1021 ($3.4M, 2.1%) ranks in the 94th percentile. Collectively, these high ranks across personal aide and respite categories reinforce a business model centered on high-volume, hands-on caregiving services.

    Given the absence of Medicare billing, the provider is functionally a single-payer (Medicaid) operation; there is no Medicare revenue to diversify payer mix or to indicate participation in skilled home health episodes. Analysts should interpret growth, utilization trends, and regulatory exposure primarily through Medicaid program changes, reimbursement policy, and state-level capacity shifts rather than Medicare policy.

    While most high-volume codes are extreme outliers in-state, several lower-revenue nursing codes and assessments (e.g., T1030, T1003, T1031, T1001) sit at more typical percentiles or low ranks, indicating that medically skilled nursing services and formal assessments are a much smaller component of this provider's portfolio. This pattern suggests operational emphasis on unskilled home-care labor rather than on delivering a broad mix of skilled home health services.

    The top-code concentration (81.1% across the top three codes) creates revenue dependency risk: payor policy shifts, rate adjustments, or eligibility changes affecting T1019, S5130, or S5135 could materially affect the provider's Medicaid revenue. For payer/procurement teams, this concentration also implies a single counterparty that can deliver very large volumes of specific personal-care services if contracting or procurement issues arise.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…1,964,610$40$80.5M
    S5130Homemaker service, nos; per 15 minutes1,679,870$20$33.6M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes635,760$20$14.6M
    T1004Services of a qualified nursing aide, up to 15 minutes342,030$40$12.7M
    S5150Unskilled respite care, not hospice; per 15 minutes307,710$40$10.8M
    T1021Home health aide or certified nurse assistant, per visit105,100$30$3.4M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour68,200$30$2.3M
    T1005Respite care services, up to 15 minutes26,560$30$717.2K
    T1030Nursing care, in the home, by registered nurse, per diem5,320$50$244.8K
    T1003Lpn/lvn services, up to 15 minutes310$20$4.6K

    Showing 1–10 of 12

    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

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…276013,520$50$2.5M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour233508,550$120$2.2M
    S5130Homemaker service, nos; per 15 minutes11,07011,250$40$1.3M
    T1021Home health aide or certified nurse assistant, per visit69013,610$20$1.2M
    S5150Unskilled respite care, not hospice; per 15 minutes11205,280$50$1M
    T1004Services of a qualified nursing aide, up to 15 minutes15107,390$50$958.8K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes15405,780$40$596.2K
    T1031Nursing care, in the home, by licensed practical nurse, per diem22301,390$30$214.1K
    T1001Nursing assessment / evaluation2630230$310$204.6K
    T1005Respite care services, up to 15 minutes1702,290$40$154K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Caring Professional Services Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Agape Nurse RegistryFLHome Health Agency$0$101.7M
    At Talitha Cumi Home Care, IncFLAttendant Care Provider$0$50.6M
    Citrus Health Network IncFLCommunity/Behavioral Health Agency$0$50.5M
    Angel Speech And Therapy Services, Inc.FLClinic/Center$0$20.6M
    Kidscare Therapy Center IncFLClinic/Center$0$16.7M
    Variety Children's HospitalFLChildren's Hospital$0$15.5M
    Florida Children's Dentistry, P.A.FLPediatric Dentistry$0$14.8M
    Get A Grip 123 LLCFLDurable Medical Equipment & Medical Supplies$0$13.2M
    Healing Touch C&c IncFLHealth Service Clinic/Center$0$10.8M
    Homed Care IncFLHome Health Agency$0$9.9M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Caring Professional Services Inc — 6 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida