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

Why is the Medicaid comparison limited to New York 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. New York (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 Care Management Partners LLC (ccmp) (NPI 1366780850)

Field	Value
Entity Type	Organization
Organization	Community Care Management Partners LLC (ccmp)
Address	1250 Broadway
City	New York
State	NY
ZIP	10001
Taxonomy	Case Management Agency
NPI Enumerated	January 18, 2013

Payer Source	Total Paid
Medicaid	$247M
Medicare	$0

Key Findings

COMMUNITY CARE MANAGEMENT PARTNERS LLC shows an effectively single‑payer footprint: there is no Medicare billing on file and lifetime Medicaid revenue is $247M, indicating the organization operates almost entirely within Medicaid programs. The provider’s NPI has been enumerated since 2013-01-18 (~13 years ago), so this Medicaid concentration reflects a long-standing, established billing presence rather than a new entrant.

Revenue is extremely concentrated in a small set of coordinated‑care and case management codes: the top three Medicaid codes account for 99.9% of this provider’s total Medicaid revenue, led by G9005 ($226.7M, 91.8%), followed by T2022 ($19.3M, 7.8%) and G9001 ($648.1K, 0.3%). These three codes overwhelmingly drive the organization’s financial performance.

The code mix and claim volumes point to a business built around managed care coordination and recurring monthly case management rather than episodic clinical encounters: G9005 (Coordinated care fee, risk adjusted maintenance) shows 778.9K claims with an average paid/claim of $291, T2022 (Case management, per month) shows 34.2K claims with an average paid/claim of $564, and G9001 (Coordinated care fee, initial rate) shows 8.4K claims at $77 average paid/claim. This combination of very high maintenance fee volume and monthly case management billing is consistent with an operation that manages large rosters of Medicaid enrollees under coordinated care arrangements.

CCMP is a major statewide participant on its largest code: G9005 ranks #2 of 37 providers in-state (97th percentile) and is described as notably above typical state volume, signaling that CCMP is a leading filer for risk‑adjusted coordinated care maintenance payments in New York. That lofty rank and the $226.7M revenue tied to G9005 mark it as a dominant player for that specific revenue stream.

Participation on T2022 and G9001 is mixed: T2022 ranks #9 of 83 providers in-state (90th percentile) and is characterized as typical/unremarkable volume, indicating a solid but not dominant role in monthly case management billing; by contrast, G9001 ranks #4 of 38 providers in-state (92nd percentile) and is identified as notably above typical state volume, showing stronger relative performance on initial coordinated care fee billing. Together these ranks imply CCMP is selective but strong across key coordinated care touchpoints.

Ancillary and assessment codes contribute only a sliver of revenue: G0506 appears with 1.9K claims, $183 avg paid/claim and $344K revenue (0.1% of Medicaid revenue) and ranks #9 of 116 in-state (93rd percentile), while H0002 and 99080 together represent minimal revenue and claim counts (226 claims/$18.1K and 51 claims/$0 respectively). These smaller codes reinforce that nearly all material revenue is concentrated in the top coordinated care and monthly case management codes.

The extreme concentration in G9005 creates material programmatic and revenue risk: with G9005 representing $226.7M and 91.8% of Medicaid revenue, any policy, rate, or programmatic change affecting coordinated care maintenance payments for Medicaid could have an outsized impact on CCMP’s financials. Analysts and payers should treat G9005 payment terms and program rules as primary determinants of CCMP’s fiscal stability.

Operational scale and maturity are evident from claim volumes and tenure: large claim counts (778.9K claims for G9005 and 34.2K claims for T2022) combined with an NPI enumeration date of 2013-01-18 (~13 years ago) suggest CCMP has built significant operational capacity to enroll and manage Medicaid members at scale, which likely underpins its high statewide ranking on coordinated care maintenance payments.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9005	Coordinated care fee, risk adjusted maintenance	778,910	$290	$226.7M
T2022	Case management, per month	34,240	$560	$19.3M
G9001	Coordinated care fee, initial rate	8,420	$80	$648.1K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	1,880	$180	$344K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	230	$80	$18.1K
99080	The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.	50	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Community Care Management Partners LLC (ccmp) — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9005	Coordinated care fee, risk adjusted maintenance	2	40	105,510	$300	$55.6M
T2022	Case management, per month	9	80	360	$550	$11.6M
G9001	Coordinated care fee, initial rate	4	40	1,500	$80	$206.5K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	9	120	70	$140	$107.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	85	200	140	$110	$65.4K
99080	The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.	709	880	210	$1	$110

Nearby Providers

Other providers in the same ZIP code as Community Care Management Partners LLC (ccmp), ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greatcare Inc	NY	Home Health Agency	$0	$231.6M
Xincon Home-healthcare Services, Inc.	NY	Home Health Agency	$0	$191.8M
Act On It Home Care Inc.	NY	Home Health Agency	$0	$57.4M
Theracare Of New York Inc	NY	Early Intervention Provider Agency	$0	$43.6M
Young Adult Institute, Inc.	NY	Developmental Disabilities Clinic/Center	$0	$37.2M
Community Healthcare Network, Inc	NY	Federally Qualified Health Center (FQHC)	$0	$35.6M
West Midtown Management Group Inc	NY	Multi-Specialty Clinic/Center	$0	$34.9M
Services For The Underserved - Mental Health Programs Inc	NY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$34.6M
Greatcare Inc	NY	Home Health Agency	$0	$33.2M
The Association For Rehabilitative Case Management And Housing	NY	Mental Illness Community Based Residential Treatment Facility	$0	$23.2M

Community Care Management Partners LLC (ccmp) — Billing Profile & Reimbursement Data

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Community Care Management Partners LLC (ccmp) — Billing Profile & Reimbursement Data

Sign up for Community Care Management Partners LLC (ccmp) — 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