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.

Premier Kids Care Inc (NPI 1902842545)

Field	Value
Entity Type	Organization
Organization	Premier Kids Care Inc
Address	601 N 21st Ave
City	Hollywood
State	FL
ZIP	33020
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$53.1M
Medicare	$0

Key Findings

PREMIER KIDS CARE INC reports $53.1M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a Medicaid-focused operation rather than a dual-payer provider. Its NPI was enumerated on 2006-06-21 (~20 years ago), indicating long-standing enrollment in public programs which aligns with the sizable Medicaid lifetime revenue recorded.

The provider’s billing is highly concentrated in diabetes-related device codes: A9276 (sensor for interstitial CGM), A9277 (external transmitter for CGM) and A9274 (external ambulatory insulin delivery system) together account for 87.3% of its Medicaid revenue, signaling that the business model is primarily supplying continuous glucose monitoring and ambulatory insulin-delivery products rather than a broad pharmacy or DME catalog. A9276 alone represents $35.1M (66.0% of Medicaid revenue), underscoring sensors as the single dominant revenue driver.

Competitive standing for the top diabetes codes is strong on a statewide basis by rank and percentile but is described in the file as "typical, unremarkable volume" for those codes. Specifically, PREMIER KIDS CARE ranks #2 of 15 providers in-state for A9276 (93th percentile) and #2 of 12 for A9277 (91th percentile), which places it among the largest state suppliers for those line items even though the data characterizes their volumes as typical for providers billing those codes. A9274 ranks #4 of 6 (40th percentile), indicating a more modest position for disposable ambulatory insulin delivery systems.

Beyond the top three, the provider also bills related supplies and accessories that support insulin pump and CGM use—examples include A9278 (receiver/monitor, $3.2M, 6.1% of Medicaid revenue, ranks #2 of 10, 89th percentile) and A4230 (infusion set non-needle cannula, $1.6M, 3.0% of Medicaid revenue, ranks #4 of 10, 67th percentile). These secondary items reinforce a business focus on the ongoing supply of consumables and replacement parts for diabetes management systems rather than episodic clinical services.

The payer mix is highly concentrated: with no Medicare revenue on file and $53.1M from Medicaid, the provider is effectively single-payer dependent. That concentration, together with the top-3 codes contributing 87.3% of Medicaid revenue, suggests financial exposure to reimbursement or utilization changes specific to CGM and insulin delivery supply lines.

Unit payment levels on the top items are non-trivial and consistent with device/supply billing: A9276 shows an average paid/claim of $347, A9277 $412, and A9274 $394. These per-claim payment levels combined with high claim counts (e.g., 101K claims for A9276 and 18.4K for A9277) explain the large dollars concentrated in a small set of device/supply codes and reflect a high-volume consumables distribution operation.

Although the provider occupies top statewide ranks for several diabetes device codes, the statistical descriptors attached to many codes in the dataset are "typical, unremarkable volume," and there are no codes labeled as extreme outliers. A few other codes have lower percentile standings (for example, E0784 ranks #6 of 8, 29th percentile), indicating pockets of more modest participation outside the core CGM and pump supply business.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	101,020	$350	$35.1M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	18,450	$410	$7.6M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	9,430	$390	$3.7M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	5,880	$550	$3.2M
A4230	Infusion set for external insulin pump, non needle cannula type	10,710	$150	$1.6M
E0784	External ambulatory infusion pump, insulin	310	$3,680	$1.1M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	11,920	$50	$536.2K
A4231	Infusion set for external insulin pump, needle type	1,020	$110	$108.9K
A6257	Transparent film, sterile, 16 sq. in. or less, each dressing	3,890	$20	$73.9K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	140	$310	$42.3K

Showing 1–10 of 13

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

Premier Kids Care Inc — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	2	20	12,210	$350	$13.5M
E0784	External ambulatory infusion pump, insulin	6	10	530	$470	$6.1M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	3,650	$500	$3.8M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	4	10	10,000	$400	$3.7M
A4230	Infusion set for external insulin pump, non needle cannula type	4	10	4,750	$130	$3.3M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	2,110	$450	$1.3M
A4231	Infusion set for external insulin pump, needle type	2	10	11,850	$90	$1.1M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	3	10	5,160	$30	$957.4K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	29	40	620	$60	$956K
A4362	Skin barrier; solid, 4 x 4 or equivalent; each	11	10	320	$30	$154.8K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Premier Kids Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Kids Care Inc	TX	Community/Retail Pharmacy	$0	$28.2M
Premier Kids Care, Inc.	GA	Community/Retail Pharmacy	$0	$19.6M

Nearby Providers

Other providers in the same ZIP code as Premier Kids Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$16.1M
Kids Speech, Physical, And Occupational Therapy, Inc	FL	Clinic/Center	$0	$8.9M
Primary Diagnostics Laboratory PLLC	FL	Clinical Medical Laboratory	$4M	$6.4K
Aptive Diagnostics LLC	FL	Clinical Medical Laboratory	$3.1M	$0
Universal Diagnostic Laboratory LLC	FL	Clinical Medical Laboratory	$9.8K	$1.1M
Mark Hotchkiss	FL	Diagnostic Radiology Physician	$188.4K	$0
Vania Fernandez	FL	Pain Medicine (Anesthesiology) Physician	$76.7K	$0
Rebecca Pasher	FL	Speech-Language Pathologist	$65.5K	$0

Premier Kids Care Inc — Billing Profile & Reimbursement Data

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Premier Kids Care Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References