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

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

Centerstone Of Florida, Inc. (NPI 1144251638)

Field	Value
Entity Type	Organization
Organization	Centerstone Of Florida, Inc.
Address	2020 26th Ave E
City	Bradenton
State	FL
ZIP	34208
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	87,480	$70	$5.9M
T1015	Clinic visit/encounter, all-inclusive	61,390	$50	$3.1M
H0032	Mental health service plan development by non-physician	14,320	$70	$973.7K
H0040	Assertive community treatment program, per diem	40,060	$20	$921.5K
H0031	Mental health assessment, by non-physician	22,900	$30	$709.7K
H2000	Comprehensive multidisciplinary evaluation	3,460	$170	$598.9K
T1017	Targeted case management, each 15 minutes	6,810	$30	$211K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,380	$80	$108.9K
H2010	Comprehensive medication services, per 15 minutes	4,910	$10	$68.7K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	5,070	$10	$60.9K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Centerstone Of Florida, Inc. — 5 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	293	560	7,680	$50	$1.5M
H0040	Assertive community treatment program, per diem	22	40	49,330	$20	$1.1M
H2019	Therapeutic behavioral services, per 15 minutes	29	1,880	1,010	$70	$544.5K
T1015	Clinic visit/encounter, all-inclusive	21	680	680	$50	$308.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	677	5,930	460	$40	$169.3K
H2000	Comprehensive multidisciplinary evaluation	28	400	110	$150	$162.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,441	6,380	430	$50	$139.3K
H0032	Mental health service plan development by non-physician	22	1,130	110	$60	$91.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	229	500	340	$50	$89.7K
H0031	Mental health assessment, by non-physician	21	1,160	210	$40	$87.3K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Centerstone Of Florida, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manatee Memorial Hospital L P	FL	General Acute Care Hospital	$0	$22.4M
Philip Ames	FL	Ophthalmology Physician	$3.5M	$350
Dwight Fitch	FL	Radiation Oncology Physician	$1.5M	$0
Federico Richter	FL	Phlebology Physician	$795.8K	$0
Mary Koshy	FL	Radiation Oncology Physician	$716K	$0
Kate Gerber	FL	Dermatology Physician	$414.4K	$0
Justin Sirianni	FL	Anesthesiology Physician	$375.3K	$0
Robert Edelman	FL	Ophthalmology Physician	$370.7K	$0
Jeffrey Davis	FL	Ophthalmology Physician	$355.1K	$0
Victor Ghobrial	FL	Pulmonary Disease Physician	$307.6K	$0

Centerstone Of Florida, Inc. — Billing Profile & Reimbursement Data

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Centerstone Of Florida, Inc. — 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