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

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

Coordinating Center For Home And Community Care, Inc. (NPI 1144268848)

Field	Value
Entity Type	Organization
Organization	Coordinating Center For Home And Community Care, Inc.
Address	8258 Veterans Hwy
City	Millersville
State	MD
ZIP	21108
Taxonomy	Case Management Agency
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$78.7M
Medicare	$0

Key Findings

COORDINATING CENTER FOR HOME AND COMMUNITY CARE, INC. reports no Medicare billing on file and all recorded fee-for-service revenue comes from Medicaid, with total Medicaid revenue of $78.7M. This makes the organization effectively a Medicaid-focused operation rather than a dual-payer provider in the Medicare market.

Revenue is highly concentrated in a small set of coordinated-care fees: the precomputed top three Medicaid codes (G9003, G9004, G9009) account for 95.1% of the provider's total Medicaid revenue. G9003 alone generated $41.3M (52.4% of Medicaid revenue), G9004 generated $26.7M (34.0%), and G9009 generated $6.9M (8.8%), indicating that these care-coordination payments are the single dominant revenue stream.

The code mix (G9003 – Coordinated care fee, risk adjusted high, initial; G9004 – Coordinated care fee, risk adjusted low, initial; G9009 – Coordinated care fee, risk adjusted maintenance, level 3) aligns with a case-management/coordination business model: large volumes of initial risk-adjusted coordinated care fees plus maintenance-level payments imply an operation organized around enrolling members, risk stratification, and ongoing care management rather than discrete clinical procedures. The presence of disease management codes such as S0316 and S0315 further supports active follow-up, reassessment, and telephonic monitoring as routine service lines.

Competitive standing within Maryland is notable for several codes because this entity is the sole or top reporter in-state. For G9003, G9004, G9009, G9001, and S0320 the provider is listed as rank #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), which indicates it is the exclusive or primary biller for those coordinated-care fee lines in the state dataset rather than one of many competitors.

S0316 (Disease management program, follow-up/reassessment) shows 5.5K claims, $370 avg paid/claim, and $2M revenue (2.6% of Medicaid revenue) and is ranked #1 of 13 providers in-state (100th percentile; notably above typical state volume for this code). This suggests the provider not only bills high-volume coordinated care fees but also executes substantial disease-management follow-up activity at levels that stand out relative to other state providers.

Other supporting codes are present but materially smaller: G9001 (2.7K claims, $426 avg, $1.2M revenue, 1.5% of Medicaid revenue) and S0320 (1.5K claims, $144 avg, $219.6K revenue, 0.3%) indicate initial-rate coordination and monthly nurse telephone monitoring are part of the service mix but represent modest shares of overall Medicaid dollars. S0315 (552 claims, $758 avg, $418.4K revenue, 0.5%) is present and ranked #1 of 2 providers in-state (100th percentile; typical, unremarkable volume for this code), reinforcing that the provider offers initial disease-management assessments without those services dominating revenue.

The provider has long tenure in federal directories, with an NPI enumerated on 2006-06-03 (~20 years ago), which supports interpretation of these billing patterns as established operational behavior rather than a startup effect. Given the long enumeration and concentrated revenue base, strategic changes in Medicaid coordinated-care payment policy or enrollment could materially affect its financial profile.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9003	Coordinated care fee, risk adjusted high, initial	126,950	$330	$41.3M
G9004	Coordinated care fee, risk adjusted low, initial	137,780	$190	$26.7M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	67,620	$100	$6.9M
S0316	Disease management program, follow-up/reassessment	5,510	$370	$2M
G9001	Coordinated care fee, initial rate	2,720	$430	$1.2M
S0315	Disease management program; initial assessment and initiation of the program	550	$760	$418.4K
S0320	Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month	1,530	$140	$219.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Coordinating Center For Home And Community Care, Inc. — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9003	Coordinated care fee, risk adjusted high, initial	1	10	126,950	$330	$41.3M
G9004	Coordinated care fee, risk adjusted low, initial	1	10	137,780	$190	$26.7M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	1	10	67,620	$100	$6.9M
G9001	Coordinated care fee, initial rate	1	10	2,720	$430	$1.2M
S0320	Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month	1	10	1,530	$140	$220.1K
S0315	Disease management program; initial assessment and initiation of the program	1	10	300	$700	$212.5K
S0316	Disease management program, follow-up/reassessment	1	10	700	$150	$209.8K

Nearby Providers

Other providers in the same ZIP code as Coordinating Center For Home And Community Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$51.6M
Anne Arundel County	MD	Ambulance	$6.7M	$7.5M
Americle Healthcare, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$11.3M
Partnership Development Group, Inc.	MD	Community/Behavioral Health Agency	$0	$8.7M
Woods Adult Day Care Center, Inc.	MD	Adult Day Care Clinic/Center	$0	$4.6M
Sammy Kang	MD	Dermatology Physician	$503.8K	$0
Stephanie Clements	MD	MOHS-Micrographic Surgery Physician	$276.7K	$0
Mohit Negi	MD	Internal Medicine Physician	$226.4K	$0
Lesley Sutherland	MD	Dermatology Physician	$92.5K	$0
Rickeena Free	MD	Family Nurse Practitioner	$60.5K	$0

Coordinating Center For Home And Community Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Coordinating Center For Home And Community Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Coordinating Center For Home And Community Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Coordinating Center For Home And Community Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References