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    OpenPayerNPI Medicare & MedicaidIntegrated Home Care Services, Inc.
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    Integrated Home Care Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1881061695 · Miramar, FL · Case Management Agency

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    Integrated Home Care Services, Inc. is a case management agency provider located in Miramar, Florida. This profile covers 0 Medicare and 106 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
    OrganizationIntegrated Home Care Services, Inc.
    Address3700 Commerce Pkwy
    CityMiramar
    StateFL
    ZIP33025
    TaxonomyCase Management Agency
    NPI EnumeratedAugust 27, 2015

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

    Payer SourceTotal Paid
    Medicaid$176.6M
    Medicare$0

    Key Findings

    INTEGRATED HOME CARE SERVICES, INC. is effectively a Medicaid-focused provider: it reports Total Medicaid revenue of $176.6M and has no Medicare billing on file, making the organization functionally single-payer in the available claims data. This payer concentration has direct implications for contract negotiations and utilization risk, since the provider’s scale and exposure sit almost entirely within state Medicaid programs.

    Revenue is highly concentrated in a small set of personal-care and home-support codes: the precomputed top-3 Medicaid codes account for 78.6% of this provider’s total Medicaid revenue. The three revenue drivers are T1019 ($69.7M, 39.8% of Medicaid revenue), T1021 ($39.8M, 22.7%), and S5130 ($28.1M, 16.1%), indicating that the vast majority of dollars derive from ongoing hands-on personal care and home aide visits.

    The code mix and taxonomy paint a clear business/service-line profile: listed as a Case Management Agency and with heavy revenue from T1019 (personal care services), T1021 (home health aide/ certified nurse assistant visits), and S5130 (homemaker services), the operation appears to be a high-volume home- and community-based services (HCBS) provider focused on personal care and in-home support rather than medical procedures. These codes imply routine, recurring, time-based service delivery models (per 15-minute or per-visit billing) rather than episodic clinical interventions.

    INTEGRATED HOME CARE is a statewide dominant player in key home-care categories: T1021 ranks #1 of 85 providers in-state and T1019 ranks #4 of 762 providers in-state, with both flagged as 100th percentile extreme outliers, and S5130 ranks #6 of 1073 providers in-state (100th percentile). These ranks and percentiles indicate the provider operates at volumes far above typical state peers for core personal-care and home-aide services, positioning it as a major competitor in Florida’s Medicaid home-care market.

    Beyond personal care, the provider has notable DME and specialized-home-medical activity: entries such as E1399 ($2.1M, rank #4 of 45, 93th percentile), E0466 ($2M, rank #4 of 63, 95th percentile), and E1392 ($1.9M, rank #4 of 114, 97th percentile) show above-typical statewide volume for durable medical equipment and home ventilator-related services. These codes, together with enteral formula codes like B4161 ($2.5M, rank #4 of 30, 90th percentile), suggest capacity to manage higher-acuity home supports including enteral feeding and respiratory equipment provisioning.

    Several additional codes are flagged as statewide outliers for particular niches: E0603 (breast pump) is $539.9K and ranks #1 of 15 providers in-state (100th percentile), and B9998 (NOC for enteral supplies) at $787.6K ranks #2 of 32 (97th percentile). While smaller in absolute dollars relative to the top three codes, these items point to ancillary supply and equipment lines that complement the provider’s core personal-care service set.

    The provider’s enrollment/tenure is established but not long-standing compared with legacy institutions: the NPI was enumerated on 2015-08-27 (~11 years ago), indicating about a decade of claims history under this NPI. That tenure is long enough to develop high-volume Medicaid operations and statewide ranking but may reflect growth concentrated in the Medicaid home-care market over the last decade.

    From a risk and network strategy perspective, the combination of extreme outlier ranks on time-based personal care codes and strong DME/enteral volumes suggests this provider is a strategic contender for Medicaid managed-care networks seeking large-capacity home-care partners. Payers evaluating utilization or network adequacy should treat INTEGRATED HOME CARE as a primary Medicaid home-care incumbent in Florida with concentrated exposure to personal-care and home health aide services.

    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.

    106 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…1,162,390$60$69.7M
    T1021Home health aide or certified nurse assistant, per visit2,212,930$20$39.8M
    S5130Homemaker service, nos; per 15 minutes781,700$40$28.1M
    S5150Unskilled respite care, not hospice; per 15 minutes196,050$70$12.7M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes196,940$40$7.1M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…6,350$400$2.5M
    E1399Durable medical equipment, miscellaneous4,230$500$2.1M
    E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)3,580$560$2M
    E1392Portable oxygen concentrator, rental8,830$220$1.9M
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)2,200$630$1.4M

    Showing 1–10 of 106

    • More pages

    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

    106 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…476013,520$50$2.5M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…4301,790$670$1.8M
    S5130Homemaker service, nos; per 15 minutes61,07011,250$40$1.3M
    T1021Home health aide or certified nurse assistant, per visit19013,610$20$1.2M
    S5150Unskilled respite care, not hospice; per 15 minutes31205,280$50$1M
    E1399Durable medical equipment, miscellaneous450420$790$880.5K
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)6301,450$520$775K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes65405,780$40$596.2K
    K0108Wheelchair component or accessory, not otherwise specified2120970$360$572.2K
    B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…8501,820$180$550K

    Showing 1–10 of 106

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    Nearby Providers

    Other providers in the same ZIP code as Integrated Home Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics Clinical Laboratories IncFLClinical Medical Laboratory$42.2M$197.6M
    Dade Medical, Inc.FLDurable Medical Equipment & Medical Supplies$0$34M
    Primary Medical Staffing, Inc.FLHome Health Agency$0$10.9M
    Option Care Enterprises, Inc.FLHome Infusion Therapy Pharmacy$0$9.5M
    Jabez Home Care LLCFLHome Health Agency$0$7.9M
    Matthew TaubFLHematology & Oncology Physician$271K$165.6K
    Richard SolomonFLPsychiatry Physician$355.1K$0
    Alceha Mayne ThomasFLFamily Nurse Practitioner$140.3K$0
    Dominique RameauFLFoot & Ankle Surgery Podiatrist$122.8K$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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Integrated Home Care Services, Inc. — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida