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.

Chimes Metro, Inc. (NPI 1104931625)

Field	Value
Entity Type	Organization
Organization	Chimes Metro, Inc.
Address	514 Interchange Blvd
City	Newark
State	DE
ZIP	19711
Taxonomy	Intellectual & Developmental Disabilities Psychologist
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicaid	$173.9M
Medicare	$0

Key Findings

CHIMES METRO, INC. reports no Medicare billing on file and is effectively a Medicaid-only billed entity with total Medicaid revenue of $173.9M. Its NPI was enumerated on 2006-08-21 (~20 years ago), indicating long-standing enrollment in the Medicare/Medicaid system despite the lack of Medicare claims activity.

Revenue is highly concentrated in a small set of waiver and habilitation codes: the precomputed top three Medicaid codes (T2025, T2016, T2020) account for 90.8% of this provider's total Medicaid revenue. This concentration means the provider’s financial performance is tightly linked to reimbursement and utilization for those specific waiver services.

T2025 (Waiver services; nos) is the single largest revenue driver with 278.4K claims, $406 avg paid/claim, and $113M revenue (65.0% of Medicaid revenue), and it ranks #1 of 10 in-state at the 100th percentile; this establishes CHIMES METRO as the leading statewide provider for that specific waivered service and a probable focal point of its operational model. Such dominance on one code suggests their business model centers on broad waiver-service delivery rather than a dispersed mix of medical services.

T2016 (Habilitation, residential, waiver; per diem) contributes $27.5M (15.8% of Medicaid revenue) from 66.4K claims at $414 avg paid/claim and ranks #3 of 9 in-state (75th percentile), while T2020 (Day habilitation, waiver; per diem) contributes $17.4M (10.0% of Medicaid revenue) from 177.5K claims at $98 avg paid/claim and ranks #2 of 11 (90th percentile). Together these patterns indicate a service mix dominated by residential and day habilitation waiver programs with sizable per-diem operations and high volume day-program utilization.

Several secondary codes further underscore a habilitation and support-services footprint: T2019 (supported employment; per 15 minutes) has 45.7K claims, $121 avg paid/claim, $5.5M revenue and ranks #1 of 6 (100th percentile), while T2014 (prevocational, per diem) and T2021 (day habilitation, per 15 minutes) each appear as #1 in smaller provider pools and are flagged as 100th percentile. Although these codes represent smaller revenue shares (single-digit percentages), their top-in-state rankings reflect a broad programmatic offering across supported employment, prevocational, and time-based day habilitation services.

Operational scale is evident from raw claim volumes and average payments: T2025 shows 278.4K claims at $406 avg, T2020 shows 177.5K claims at $98 avg, and T2016 shows 66.4K claims at $414 avg. These high claim counts combined with per-diem and per-15-minute billing patterns signal an organization running large, recurring service programs with substantial administrative throughput and staffing/resource commitments to support day and residential habilitation.

CHIMES METRO also bills ancillary support codes consistent with comprehensive waiver service delivery: T1001 (Nursing assessment/evaluation) generated 38.3K claims, $34 avg paid/claim, $1.3M revenue and ranks #3 of 51 in-state (96th percentile), and T2004 (Non-emergency transport; commercial carrier, multi-pass) generated 67.5K claims, $8 avg paid/claim, $539.7K revenue and ranks #1 of 7 (100th percentile). These line items indicate integrated care supports such as nursing assessments and transportation are part of the provider’s service ecosystem rather than isolated billings.

The provider’s payer mix and code concentration create a measurable sensitivity to Medicaid policy, rate, or waiver-design changes affecting T2025, T2016, and T2020; a material reimbursement change to any of those codes could disproportionately affect the provider given the 90.8% revenue concentration in the top three codes. Given the absence of Medicare revenue, CHIMES METRO lacks Medicare diversification to offset Medicaid-specific financial or regulatory shifts.

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
T2025	Waiver services; not otherwise specified (nos)	278,410	$410	$113M
T2016	Habilitation, residential, waiver; per diem	66,430	$410	$27.5M
T2020	Day habilitation, waiver; per diem	177,450	$100	$17.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	45,720	$120	$5.5M
T2014	Habilitation, prevocational, waiver; per diem	73,810	$70	$5.1M
T2021	Day habilitation, waiver; per 15 minutes	24,950	$60	$1.6M
T1001	Nursing assessment / evaluation	38,270	$30	$1.3M
T2015	Habilitation, prevocational, waiver; per hour	26,640	$40	$1.1M
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	21,850	$30	$721K
T2004	Non-emergency transport; commercial carrier, multi-pass	67,460	$10	$539.7K

Showing 1–10 of 11

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

Chimes Metro, Inc. — 8 of 11 codes 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	1	10	37,650	$670	$43M
T2016	Habilitation, residential, waiver; per diem	3	10	23,150	$620	$21.9M
T2020	Day habilitation, waiver; per diem	2	10	19,250	$120	$6.3M
T2014	Habilitation, prevocational, waiver; per diem	1	10	46,520	$70	$3.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	1	10	8,540	$160	$2.1M
T2015	Habilitation, prevocational, waiver; per hour	1	10	17,570	$60	$1.1M
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	4	10	20,370	$50	$986.1K
T2021	Day habilitation, waiver; per 15 minutes	1	10	6,400	$100	$849.7K
T1001	Nursing assessment / evaluation	3	50	1,950	$50	$294K
H2023	Supported employment, per 15 minutes	1	10	1,410	$170	$227.1K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newark Emergency Center	DE	Emergency Medicine Physician	$0	$6.8M
Connections Community Support Programs, Inc	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.9M
Option Care Enterprises Inc	DE	Home Infusion Therapy Pharmacy	$0	$2.8M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.5M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
Bancroft Behavioral Health	DE	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
American Homepatient, Inc.	DE	Durable Medical Equipment & Medical Supplies	$0	$1.6M
Aetna Hose, Hook And Ladder Company Of Newark Delaware	DE	Land Ambulance	$774K	$481.1K

Chimes Metro, Inc. — Billing Profile & Reimbursement Data

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Chimes Metro, 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