Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Lehigh Acres › NPI 1982356580
Agency

4Moons Care Center LLC

4Moons Care Center LLC was paid $662K by Medicaid between Jul 2023 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 45% of everything it billed.

33Billing provider info4MOONS CARE CENTER LLC
LEHIGH ACRES, FL 33971
33aNPI1982356580assigned 01/25/2022
33bProvider typeHome Health Agency
28Total paid$662K
24GClaims8,718
24DCodes billed3
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers

Next to other Home Health Agency providers in Florida

Rank by total paid#489 of 904
Median peer was paid$933K
This provider vs. median0.7×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20231,312$91K
2024incomplete7,406$571K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 45% 3,518 315 $295K
S5130 Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes 40% 4,078 569 $264K
T1004 Services of a qualified nursing aide, up to 15 minutes 15% 1,122 113 $102K

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 officialPERDOMO, MISAEL (OWNER, ADMINISTRATOR)