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

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

Clj Home Healthcare, LLC (NPI 1154861961)

Field	Value
Entity Type	Organization
Organization	Clj Home Healthcare, LLC
Address	14350 Northbrook Dr Ste 220
City	San Antonio
State	TX
ZIP	78232
Taxonomy	Nursing Care Agency
NPI Enumerated	February 27, 2017

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	27,920	$530	$14.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Clj Home Healthcare, LLC — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	74	140	29,740	$490	$24.4M

Nearby Providers

Other providers in the same ZIP code as Clj Home Healthcare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emerus Bhs Sa Thousand Oaks, LLC	TX	General Acute Care Hospital	$0	$25M
Stone Oak Surgicenter, LLC	TX	Ambulatory Surgical Clinic/Center	$3.2M	$0
Advanced Diagnostic Laboratory	TX	Clinical Medical Laboratory	$920.1K	$6.3K
Darren Richards	TX	Physician Assistant	$521.1K	$0
Gregory Thompson	TX	Dermatology Physician	$484.2K	$0
Byron Limmer	TX	MOHS-Micrographic Surgery Physician	$417.9K	$0
Brenda Tomasson	TX	Gerontology Nurse Practitioner	$178.4K	$0
Courtney Buchmeier	TX	Family Nurse Practitioner	$169K	$0
Assem Sherkawy	TX	Internal Medicine Physician	$140.2K	$0
Susan Gutierrez	TX	Nurse Practitioner	$82.1K	$0

Clj Home Healthcare, LLC — Billing Profile & Reimbursement Data

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Clj Home Healthcare, LLC — 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