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

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

Conexio Care, Inc. (NPI 1073181848)

Field	Value
Entity Type	Organization
Organization	Conexio Care, Inc.
Address	204 Gordy Pl
City	New Castle
State	DE
ZIP	19720
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 16, 2021

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

Key Findings

CONEXIO CARE, INC. reports Total Medicare revenue: none (no Medicare billing on file) while reporting Total Medicaid revenue: $15.8M, indicating the organization is effectively a single-payer (Medicaid) billing entity in the available data. Analysts should treat Medicaid as the primary and sole revenue stream on file rather than a mixed Medicare/Medicaid operation.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and a single code, T2033, is listed with $15.8M (100.0% of Medicaid revenue). This means the provider’s financial profile is dominated by one service line rather than a diversified code mix.

The top billed code, T2033 (Residential care, not otherwise specified (nos), waiver; per diem), and the provider taxonomy of Mental Health Clinic/Center (Including Community Mental Health Center) together indicate the organization operates residential waiver-based mental health services billed on a per-diem basis. The code description aligns with facility-style, bed-based or residential programming rather than short outpatient visits or procedural care.

Claim-level statistics for T2033 show 65.7K claims with a $241 avg paid/claim, which is consistent with high-volume, per-diem residential billing where many days of service generate many claims at modest per-claim rates. These unit economics imply that sustaining occupancy and day-rate authorization are key operational drivers of revenue.

CONEXIO CARE ranks #1 of 7 providers in-state for T2033 and sits at the 100th percentile, described as notably above typical state volume for this code. This rank indicates the provider is a dominant in-state participant for residential waiver billing, suggesting market-leading scale in this specific service within Delaware.

Heavy dependence on a single Medicaid code (T2033) creates concentration risk: any changes to waiver rules, per-diem rates, or authorization/eligibility criteria for residential care could materially affect the provider’s entire reported revenue base. Analysts should flag sensitivity to Medicaid policy shifts and reimbursement edits tied to residential waiver services.

The NPI was enumerated on 2021-06-16 (~5 years ago), indicating relatively recent enrollment followed by rapid accumulation of $15.8M in Medicaid revenue under T2033. This timing suggests the provider achieved substantial scale in residential waiver services over a short timeframe, which may warrant further operational and utilization review to understand growth drivers.

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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	65,680	$240	$15.8M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Conexio Care, Inc. — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1	10	60	$250	$2.4M

Nearby Providers

Other providers in the same ZIP code as Conexio Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Delaware & Marylands Eastern Shore, Inc	DE	Intellectual & Developmental Disabilities Psychologist	$0	$315.9M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$61.2M
Nurses 'n Kids, Inc.	DE	Medically Fragile Infants and Children Day Care	$0	$14.3M
Delaware Diagnostic Labs, LLC	DE	Clinical Medical Laboratory	$3.1M	$8.5M
Point Of Hope Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$10M
Anesthesia Services PA	DE	Anesthesiology Physician	$0	$6.3M
Collaborative Effort To Reinforce Transition Success, Inc	DE	Intellectual & Developmental Disabilities Psychologist	$0	$4M
Abundant Life Community Development Corporation	DE	Intellectual & Developmental Disabilities Psychologist	$0	$2M
State Of Delaware	DE	Local Education Agency (LEA)	$0	$2M
Family Care Associates, Inc	DE	Family Medicine Physician	$0	$1.6M

Conexio Care, Inc. — Billing Profile & Reimbursement Data

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Conexio Care, 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