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 Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Mains'l Florida, Inc. (NPI 1932341898)

Field	Value
Entity Type	Organization
Organization	Mains'l Florida, Inc.
Address	7000 78th Ave N
City	Brooklyn Park
State	MN
ZIP	55445
Taxonomy	Home Health Agency
NPI Enumerated	March 24, 2009

Payer Source	Total Paid
Medicaid	$996.7M
Medicare	$0

Key Findings

MAINS'L FLORIDA, INC. is effectively a single-payer Medicaid operator: it has no Medicare billing on file and reports total Medicaid revenue of $996.7M. The absence of Medicare activity means analysts should treat this entity as focused on state Medicaid programs rather than Medicare fee-for-service markets.

Revenue concentration is extreme: the provider’s top three Medicaid codes account for 100.0% of its Medicaid revenue, and a single code, H0044, is reported as generating $996.6M in revenue (100.0% of this provider's total Medicaid revenue). This indicates virtually all Medicaid dollars are tied to the supported-housing service line rather than a diversified set of clinical services.

The code mix identifies the operation as a supported housing/home-and-community-based service provider: H0044 is listed as H0044 – Supported housing, per month and drives the vast majority of revenue, while T2028 (T2028 – Specialized supply, not otherwise specified, waiver) contributes only $111.6K and is labeled 0.0% of this provider's total Medicaid revenue. This profile suggests the organization’s core business model centers on ongoing monthly housing support reimbursements rather than episodic clinical encounters or high-volume medical supply billing.

H0044 activity shows very high volume and unit payments: 304.7K claims at a $3271 avg paid/claim are reported against H0044. Those claim and unit-payment levels imply a high-touch, recurring monthly payment structure for the supported housing service line and create a distinctive operational scale tied to per-month placement or slot counts.

Competitive standing for the primary code is unique within the state: H0044 ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), which means MAINS'L FLORIDA appears to be the sole in-state biller for this code in the dataset and there is no in-state peer volume distribution to benchmark against. Analysts should interpret the rank cautiously — it signals exclusivity in the dataset rather than a measured market share among multiple competitors.

By contrast, the secondary code T2028 ranks #10 of 11 providers in-state (10th percentile; typical, unremarkable volume for this code) and shows 1.5K claims with a $76 avg paid/claim and $111.6K revenue. This positioning indicates MAINS'L is a modest participant for specialized supply billing and that these ancillary supplies do not materially move its overall financial picture.

The provider’s NPI tenure is long-standing: the NPI was enumerated on 2009-03-24 (~17 years ago). This duration suggests an established operational presence in the state Medicaid system, which may correlate with developed administrative processes for billing high-volume monthly service codes like H0044.

The extreme concentration of Medicaid revenue in one service line creates financial and regulatory sensitivity: because virtually all Medicaid revenue is linked to H0044 payments, changes to supported housing reimbursement policy, waiver rules, or monthly payment rates could disproportionately affect the provider’s revenue. Monitoring policy updates to H0044, waiver program changes, and any state-level auditing or eligibility adjustments for supported housing would be critical risk indicators for this entity.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0044	Supported housing, per month	304,660	$3,270	$996.6M
T2028	Specialized supply, not otherwise specified, waiver	1,470	$80	$111.6K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

Mains'l Florida, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0044	Supported housing, per month	1	10	304,660	$3,270	$996.7M
T2028	Specialized supply, not otherwise specified, waiver	10	10	4,700	$90	$7.3M

Nearby Providers

Other providers in the same ZIP code as Mains'l Florida, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliable Medical Supply LLC	MN	Durable Medical Equipment & Medical Supplies	$0	$22.3M
Smc Care, Inc.	MN	Assisted Living Facility	$0	$21.8M
Today's Dental St.cloud Sc	MN	Point of Service	$0	$4.8M
North Clinic, PA	MN	Family Medicine Physician	$0	$4.5M
Homeward Bound, Inc.	MN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$4.4M

Mains'l Florida, Inc. — Billing Profile & Reimbursement Data

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Mains'l Florida, 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

Nearby Providers

Frequently Asked Questions

References