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.

Community Case Management Services, LLC (NPI 1164849931)

Field	Value
Entity Type	Organization
Organization	Community Case Management Services, LLC
Address	13145 Coronado Dr
City	North Miami
State	FL
ZIP	33181
Taxonomy	Behavior Analyst
NPI Enumerated	March 18, 2014

Payer Source	Total Paid
Medicaid	$11.3M
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
T1017	Targeted case management, each 15 minutes	142,750	$50	$7M
H2017	Psychosocial rehabilitation services, per 15 minutes	22,550	$110	$2.5M
H2019	Therapeutic behavioral services, per 15 minutes	21,930	$70	$1.6M
H0031	Mental health assessment, by non-physician	2,500	$30	$82.5K
H0032	Mental health service plan development by non-physician	1,500	$40	$63K
H2030	Mental health clubhouse services, per 15 minutes	920	$50	$49.8K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	280	$130	$36.4K
T1015	Clinic visit/encounter, all-inclusive	530	$50	$28.8K
H2000	Comprehensive multidisciplinary evaluation	100	$130	$12.2K
H2012	Behavioral health day treatment, per hour	30	$170	$5.8K

Showing 1–10 of 11

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

Community Case Management Services, LLC — 1 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	21	560	7,680	$50	$1.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	180	980	4,890	$100	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	156	1,880	1,010	$70	$544.5K
T1015	Clinic visit/encounter, all-inclusive	364	680	680	$50	$308.4K
H2030	Mental health clubhouse services, per 15 minutes	17	30	920	$60	$223.1K
H2000	Comprehensive multidisciplinary evaluation	211	400	110	$150	$162.7K
H2012	Behavioral health day treatment, per hour	169	180	450	$90	$123.7K
H0032	Mental health service plan development by non-physician	182	1,130	110	$60	$91.7K
H0031	Mental health assessment, by non-physician	172	1,160	210	$40	$87.3K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	194	400	260	$110	$67.2K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Community Case Management Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexandra Williams	FL	Physical Therapist	$280.5K	$0
Debbie Ali	FL	Optometrist	$126.5K	$0
Jennifer Soloway	FL	Physician Assistant	$105.2K	$0
Salih Colakoglu	FL	Plastic Surgery Physician	$57.6K	$0

Community Case Management Services, LLC — Billing Profile & Reimbursement Data

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Community Case Management Services, LLC — Billing Profile & Reimbursement Data

Sign up for Community Case Management Services, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References