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

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

Cai Hong Senior Services Inc (NPI 1043794472)

Field	Value
Entity Type	Organization
Organization	Cai Hong Senior Services Inc
Address	3079 Crossing Park
City	Norcross
State	GA
ZIP	30071
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	September 21, 2018

Payer Source	Total Paid
Medicaid	$17M
Medicare	$0

Key Findings

CAI HONG SENIOR SERVICES INC is effectively a single-payer Medicaid provider: Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $17M. The absence of Medicare billing indicates the organization’s revenue base and regulatory exposure are concentrated entirely in Medicaid programs rather than split across federal Medicare contracts.

The provider’s service mix is dominated by adult day care and personal care delivery based on its top billings: S5102 (Day care services, adult; per diem) generated $10.5M (61.6% of Medicaid revenue) and T1019 (Personal care services, per 15 minutes) generated $6.5M (38.4% of Medicaid revenue). This split—per‑diem adult day care plus high-volume per-15-minute personal care—aligns with a mixed model that provides both center-based supervision and individualized in-home or plan-based personal care.

Revenue concentration is high: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, indicating nearly all Medicaid receipts flow from a very small set of service lines. That degree of concentration means changes in reimbursement policy, utilization management, or eligibility for these specific codes would materially affect overall revenue.

Competitive standing differs by code. For S5102 the provider ranks #2 of 5 in-state (75th percentile; labeled as typical, unremarkable volume for this code), which suggests a mid-tier position among a small group of adult day care billers. For T1019 the provider ranks #3 of 34 in-state (94th percentile; labeled as typical, unremarkable volume for this code), indicating relatively strong statewide volume in personal care compared with peers even though the metric is characterized as typical.

Claims and unit economics reveal complementary utilization patterns: S5102 shows 10.1K claims with a high average paid per claim ($1037 avg paid/claim) producing $10.5M revenue, while T1019 shows 56.3K claims at a much lower unit value ($116 avg paid/claim) producing $6.5M revenue. This demonstrates a business mix of fewer, higher-value per‑diem day care encounters and many lower-value, time‑based personal care units that together compose the full Medicaid revenue picture.

Tenure on file is relatively recent: the NPI was enumerated 2018-09-21 (~8 years ago), indicating the organization has been active under its current NPI for under a decade. That timeframe is consistent with an established but not long-tenured provider, which may still be in a growth or consolidation phase within the state Medicaid market.

Operationally, the combination of being single-payer (Medicaid-only), having 100.0% of Medicaid revenue concentrated in the top codes, and a reliance on two distinct service modalities signals both focus and vulnerability. While the provider demonstrates meaningful scale in T1019 (94th percentile statewide), its overall business performance will be sensitive to Medicaid rate adjustments or utilization shifts specific to S5102 and T1019.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	10,100	$1,040	$10.5M
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…	56,320	$120	$6.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Cai Hong Senior Services Inc — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

2 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…	3	30	17,680	$90	$6.9M
S5102	Day care services, adult; per diem	2	10	1,980	$100	$4.4M

Nearby Providers

Other providers in the same ZIP code as Cai Hong Senior Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Juana Braverman	GA	Pediatrics Physician	$0	$1.6M
Archana Jayan	GA	Orthopedic Physical Therapist	$214.8K	$0
Managed Health Solutions LLC	GA	Long Term Care Pharmacy	$213.8K	$0
Global Diagnostic Labs LLC	GA	Clinical Medical Laboratory	$20.4K	$145.5K
Tricia Strickland	GA	Psychiatric/Mental Health Nurse Practitioner	$6.1K	$159.3K
Elina Labs LLC	GA	Clinical Medical Laboratory	$14.1K	$110.3K
Justin Gordon	GA	Clinical Social Worker	$72.8K	$0

Cai Hong Senior Services Inc — Billing Profile & Reimbursement Data

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Cai Hong Senior Services Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References