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

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

Carelock, LLC (NPI 1245795459)

Field	Value
Entity Type	Organization
Organization	Carelock, LLC
Address	2920 E Mohawk Ln Ste 101
City	Phoenix
State	AZ
ZIP	85050
Taxonomy	Family Medicine Physician
NPI Enumerated	February 1, 2019

Payer Source	Total Paid
Medicaid	$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.

88 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	53,310	$60	$3.4M
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	16,860	$100	$1.7M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2,150	$320	$681.2K
T1016	Case management, each 15 minutes	4,560	$90	$414.5K
99204	The provider sees a new 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 provider…	4,270	$90	$380.2K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	7,130	$50	$371K
99492	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	3,280	$110	$360.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,520	$140	$350.7K
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…	7,450	$50	$342.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,390	$90	$208.2K

Showing 1–10 of 88

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Carelock, LLC — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

88 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	87	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	440	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	482	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	789	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	449	780	1,610	$100	$868.2K
H0038	Self‑help/peer services, per 15 minutes	530	580	1,250	$80	$479.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	229	400	200	$120	$403K
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…	71	3,040	750	$50	$343.9K
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…	380	2,780	600	$50	$267K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	214	480	150	$110	$134.3K

Showing 1–10 of 88

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carelock, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Gilliam	AZ	Family Medicine Physician	$155.9K	$0
Janelle Schanfish	IL	Family Nurse Practitioner	$16.3K	$18.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Therapy Services, Inc	AZ	Rehabilitation Practitioner	$0	$7.6M
Sharam Danesh	AZ	Ophthalmology Physician	$2.4M	$0
Desert Ridge Outpatient Surgery LLC	AZ	Ambulatory Surgical Clinic/Center	$968K	$658.9K
Union Hills Pain Partners LLC	AZ	Ambulatory Surgical Clinic/Center	$1.5M	$107.7K
Jodi Bond	AZ	Family Nurse Practitioner	$952.5K	$0
Francis Tobin	AZ	Dermatology Physician	$664.6K	$0
Stephanie Geier	AZ	Nurse Practitioner	$567.5K	$0
Max Kim	AZ	Glaucoma Specialist (Ophthalmology) Physician	$431.8K	$0
Kelly Schultz	AZ	Primary Care Nurse Practitioner	$343.1K	$0
Leslie Eisner	AZ	Ophthalmology Physician	$324.2K	$0

Carelock, LLC — Billing Profile & Reimbursement Data

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Carelock, LLC — Billing Profile & Reimbursement Data

Sign up for Carelock, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References