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

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

Darren Kilgore (NPI 1003230095)

Field	Value
Entity Type	Individual
Organization	Darren Kilgore
Address	269 Walker St
City	Detroit
State	MI
ZIP	48207
Taxonomy	Community Health Worker
NPI Enumerated	February 11, 2014

Payer Source	Total Paid
Medicaid	$24.7M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	131,520	$160	$21M
H0043	Supported housing, per diem	30,270	$100	$2.9M
T1005	Respite care services, up to 15 minutes	5,730	$130	$732.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Darren Kilgore — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	66	610	14,740	$90	$6M
H0043	Supported housing, per diem	27	130	10,330	$210	$4.5M
T1005	Respite care services, up to 15 minutes	50	110	4,910	$80	$2.2M

Nearby Providers

Other providers in the same ZIP code as Darren Kilgore, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Team Wellness Center	MI	Community Health Clinic/Center	$0	$208.4M
Detroit Area Agency On Aging	MI	Case Management Agency	$0	$177.2M
Quality Behavioral Health, Inc.	MI	Community/Behavioral Health Agency	$0	$38.9M
Franklin-wright Settlements, Inc.	MI	In Home Supportive Care Agency	$0	$9M
Stallworth Afc #1 Corporation	MI	Contractor	$0	$7.5M
County Of Wayne	MI	Case Management Agency	$0	$7.3M
John Head	MI	Psychiatry Physician	$186.1K	$0
Faye Zuhairy	MI	Psychiatry Physician	$89.3K	$0
Beverly Armstrong	MI	Mental Health Counselor	$78.2K	$0
Vinod Goyal	MI	Nephrology Physician	$74.6K	$0

Darren Kilgore — Billing Profile & Reimbursement Data

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Darren Kilgore — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References