Agency
Martin S Florida Elder Care INC
Martin S Florida Elder Care INC was paid $16.25M by Medicaid between Dec 2018 and Dec 2024, across 12 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 50% of everything it billed.
33Billing provider infoMARTIN S FLORIDA ELDER CARE INC
DORAL, FL 33122
DORAL, FL 33122
33aNPI1821275561assigned 01/24/2008
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$16.25M
24GClaims484,261
24DCodes billed12
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Florida
Rank by total paid#4 of 92
Median peer was paid$962K
This provider vs. median17×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,610 | $209K | |
| 2019 | 103,552 | $2.77M | |
| 2020 | 94,949 | $2.49M | |
| 2021 | 83,839 | $2.57M | |
| 2022 | 79,316 | $2.65M | |
| 2023 | 60,953 | $2.92M | |
| 2024incomplete | 54,042 | $2.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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 services provided by home health aide or certified nurse assistant) | 50% | 209,196 | 7,911 | $8.09M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 31% | 164,491 | 8,072 | $5.00M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 9.1% | 49,659 | 2,398 | $1.47M |
| T1004 | Services of a qualified nursing aide, up to 15 minutes | 6.5% | 30,900 | 1,268 | $1.06M |
| T1021 | Home health aide or certified nurse assistant, per visit | 3.8% | 22,729 | 899 | $619K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | <1% | 101 | 12 | $2K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 0% | 3,630 | 230 | $0.00 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 0% | 110 | 78 | $0.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 357 | 266 | $0.00 |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | 0% | 707 | 91 | $0.00 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 0% | 2,208 | 94 | $0.00 |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 0% | 173 | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMARTIN, JAMES (DIRECTOR OF PATIENT CARE SERVICES)
| Provider | Location | Paid |
|---|---|---|
| SHP Investments, LLC | Lake Clarke Shores, FL | $9.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.