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

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

Illumination Health And Home (NPI 1073863056)

Field	Value
Entity Type	Organization
Organization	Illumination Health And Home
Address	3535 W Commonwealth Ave
City	Fullerton
State	CA
ZIP	92833
Taxonomy	Respite Care
NPI Enumerated	September 17, 2012

Payer Source	Total Paid
Medicaid	$33.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	7,520	$2,840	$21.3M
H0043	Supported housing, per diem	23,160	$360	$8.3M
G9012	Other specified case management service not elsewhere classified	14,960	$100	$1.4M
G9008	Coordinated care fee, physician coordinated care oversight services	31,780	$20	$667.3K
T2051	Supports brokerage, self-directed, waiver; per diem	1,930	$330	$638.2K
H0044	Supported housing, per month	520	$1,140	$597.8K
H2038	Skills training and development, per diem	1,630	$70	$108.9K
T2020	Day habilitation, waiver; per diem	1,490	$70	$100K
H2016	Comprehensive community support services, per diem	430	$170	$74.7K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	290	$220	$64.1K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Illumination Health And Home — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	11	60	1,270	$770	$3.2M
H0043	Supported housing, per diem	4	230	580	$250	$665.6K
G9012	Other specified case management service not elsewhere classified	56	720	1,110	$110	$651.3K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	36	80	240	$120	$630.4K
T2051	Supports brokerage, self-directed, waiver; per diem	3	30	170	$110	$562.9K
H0044	Supported housing, per month	14	60	150	$570	$542.3K
G9008	Coordinated care fee, physician coordinated care oversight services	18	490	660	$70	$396.7K
H2016	Comprehensive community support services, per diem	47	100	400	$180	$257.2K
H2038	Skills training and development, per diem	4	10	1,600	$60	$230.6K
T2040	Financial management, self-directed, waiver; per 15 minutes	47	60	240	$150	$126.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Illumination Health And Home, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sung Kim	CA	Physical Therapist	$247.5K	$0

Illumination Health And Home — Billing Profile & Reimbursement Data

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Illumination Health And Home — 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