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    OpenPayerNPI Medicare & MedicaidLoving Hands Home Health Agency, Inc.
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    Loving Hands Home Health Agency, Inc. — Billing Profile & Reimbursement Data

    NPI 1962763375 · Fort Myers, FL · Home Health Agency

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    Loving Hands Home Health Agency, Inc. is a home health agency provider located in Fort Myers, Florida. This profile covers 0 Medicare and 3 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
    OrganizationLoving Hands Home Health Agency, Inc.
    Address2336 Cleveland Ave
    CityFort Myers
    StateFL
    ZIP33901
    TaxonomyHome Health Agency
    NPI EnumeratedJune 1, 2012

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

    Payer SourceTotal Paid
    Medicaid$51.4M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in the available data: there is no Medicare billing on file while lifetime Medicaid revenue is $51.4M, indicating reliance on Medicaid as the primary revenue source. The taxonomy and service mix below align with a Medicaid-focused home health operation in Fort Myers, FL.

    Revenue is extremely concentrated in a single procedure line: the top 3 codes by revenue account for 100.0% of this provider's total Medicaid revenue, and S9123 alone generates $51.2M (51.7K claims, $991 avg paid/claim), representing 99.8% of the provider's Medicaid revenue. This concentration implies that changes to reimbursement or utilization for S9123 would materially affect the provider's financials.

    The code mix indicates the business is primarily a skilled nursing-in-home operation: S9123 (Nursing care in the home by registered nurse, per hour) dominates billing, while S5130 (Homemaker service, nos; per 15 minutes) with 1.8K claims and $84.2K revenue and T1004 (Services of a qualified nursing aide, up to 15 minutes) with 563 claims and $34.3K revenue are marginal by comparison. This suggests the agency focuses on delivering registered nurse visits rather than large volumes of homemaker or aide services.

    On state competitive standing for its primary service, the provider ranks highly: S9123 ranks #4 of 104 providers in-state (97th percentile; notably above typical state volume for this code), identifying the agency as a major in-state provider of RN home nursing under Medicaid. Its high claim volume for S9123 (51.7K claims) supports this characterization of market prominence for that specific code.

    By contrast, the provider shows modest participation in non-RN home services: S5130 ranks #845 of 1073 providers in-state (21th percentile; typical, unremarkable volume for this code) and T1004 ranks #437 of 511 providers in-state (15th percentile; typical, unremarkable volume for this code). These ranks indicate the agency is not a leading supplier of homemaker or nursing aide services relative to peers.

    Operational tenure is established: the NPI was enumerated on 2012-06-01 (~14 years ago), which, combined with the substantial Medicaid billing, indicates a sustained, Medicaid-focused operating history rather than a recent entrant. This tenure supports the interpretation of the provider as a longstanding Medicaid home health agency in its market.

    From a payer-risk and business strategy perspective, the combination of $51.4M in Medicaid revenue, no Medicare billing on file, and the 99.8% share of Medicaid revenue from S9123 means the provider's revenue profile is highly concentrated by payer and service. That profile creates material exposure to Medicaid policy, rate changes, or utilization shifts for RN in-home nursing services, while diversification into Medicare or broader non-RN service lines appears limited in the available data.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9123Nursing 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)51,700$990$51.2M
    S5130Homemaker service, nos; per 15 minutes1,790$50$84.2K
    T1004Services of a qualified nursing aide, up to 15 minutes560$60$34.3K

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9123Nursing 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)41003,400$580$6.4M
    S5130Homemaker service, nos; per 15 minutes8451,07011,250$40$1.3M
    T1004Services of a qualified nursing aide, up to 15 minutes4375107,390$50$958.8K

    Nearby Providers

    Other providers in the same ZIP code as Loving Hands Home Health Agency, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lee Memorial Health SystemFLGeneral Acute Care Hospital$0$97.7M
    A1 America Home Health Agency, Inc.FLHome Health Agency$0$24.2M
    County Of Lee-office Of County CommFLAmbulance$7.1M$6.4M
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Family Health Centers Of Southwest Florida IncFLFederally Qualified Health Center (FQHC)$0$11.3M
    Nursing Alliance Home Care West Coast IncFLHome Health Agency$0$10.7M
    Physicians Surgery Center LLCFLAmbulatory Surgical Clinic/Center$2.5M$0
    Josiah MagnussonFLNuclear Medicine Physician$1.8M$0
    Surgicare Center LLCFLAmbulatory Surgical Clinic/Center$306.4K$541.2K
    Edward DanehyFLDiagnostic Radiology Physician$695.2K$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 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Loving Hands Home Health Agency, Inc. — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida