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

Why is the Medicaid comparison limited to New York 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. New York (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.

Consumer Directed Choices, Inc. (NPI 1033162987)

Field	Value
Entity Type	Organization
Organization	Consumer Directed Choices, Inc.
Address	7 Washington Sq
City	Albany
State	NY
ZIP	12205
Taxonomy	Attendant Care Provider
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$238.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	1,399,490	$170	$237.9M
T1020	Personal care services, per diem, 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…	1,800	$310	$562.5K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	920	$260	$239.6K
T1022	Contracted home health agency services, all services provided under contract, per day	40	$300	$10.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Consumer Directed Choices, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

4 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…	82	910	108,820	$150	$81.8M
T1020	Personal care services, per diem, 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…	275	350	12,660	$310	$13.1M
T1022	Contracted home health agency services, all services provided under contract, per day	321	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	12	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as Consumer Directed Choices, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Of New York, LLC	NY	Home Health Agency	$0	$92.6M
Attentive Care Of Albany, Inc	NY	Home Health Agency	$0	$36.7M
David Rabady	NY	Retina Specialist (Ophthalmology) Physician	$3.8M	$1.1M
Robert Feldman	NY	Ophthalmology Physician	$1.8M	$165.9K
Everett Road Asc, LLC	NY	Ambulatory Surgical Clinic/Center	$1.7M	$240.2K
Martin Ferrillo	NY	Interventional Pain Medicine Physician	$425.5K	$55.3K
Executive Woods Ambulatory Surgery Center LLC	NY	Ambulatory Surgical Clinic/Center	$310.9K	$0
Daniel Single	NY	Orthopaedic Surgery Physician	$247.5K	$0
Alfonso Prieto	NY	Clinical Cardiac Electrophysiology Physician	$207.6K	$10.7K
Leonard Goldstock	NY	Orthopaedic Surgery Physician	$213K	$1.6K

Consumer Directed Choices, Inc. — Billing Profile & Reimbursement Data

Sign up for Consumer Directed Choices, Inc. — Billing Profile & Reimbursement Data policy alerts

Consumer Directed Choices, Inc. — Billing Profile & Reimbursement Data

Sign up for Consumer Directed Choices, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References