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

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

Assisted Care By Black Stone Of Dayton, LLC (NPI 1023311222)

Field	Value
Entity Type	Organization
Organization	Assisted Care By Black Stone Of Dayton, LLC
Address	580 Lincoln Park Blvd Ste 101
City	Kettering
State	OH
ZIP	45429
Taxonomy	Home Health Agency
NPI Enumerated	December 9, 2010

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal 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…	183,070	$70	$12.4M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Assisted Care By Black Stone Of Dayton, LLC — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal 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…	38	830	20,350	$70	$3.1M

Nearby Providers

Other providers in the same ZIP code as Assisted Care By Black Stone Of Dayton, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kettering Medical Center	OH	General Acute Care Hospital	$0	$38M
Kav Health Group LLC	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.6M
Heartland Hospice Services LLC	OH	Community Based Hospice Care Agency	$0	$20.7M
Kettering Network Radiologists Inc	OH	Diagnostic Radiology Physician	$0	$16.1M
City Of Kettering	OH	Ambulance	$431.8K	$1.1M
Shahzad Farukhi	OH	Internal Medicine Physician	$69.3K	$1.4M
Eugene Kirkland	OH	Dermatology Physician	$1.3M	$0
Phillip Hall	OH	MOHS-Micrographic Surgery Physician	$651.7K	$0
Jason Ballin	OH	Dermatology Physician	$578.9K	$0
Soriya Pok-todd	OH	Emergency Medicine Physician	$65.4K	$425.6K

Assisted Care By Black Stone Of Dayton, LLC — Billing Profile & Reimbursement Data

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Assisted Care By Black Stone Of Dayton, LLC — 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