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

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

Ace Care Management LLC (NPI 1386171833)

Field	Value
Entity Type	Organization
Organization	Ace Care Management LLC
Address	236 Auburn Ave Ne
City	Atlanta
State	GA
ZIP	30303
Taxonomy	Case Management Agency
NPI Enumerated	May 15, 2017

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

Key Findings

This provider reports Total Medicare revenue: none (no Medicare billing on file) and Total Medicaid revenue: $16.5M, making it effectively a single-payer (Medicaid-focused) billing operation in the dataset. The absence of Medicare claims on file indicates the entity’s reimbursement footprint and competitive standing should be evaluated within Medicaid markets rather than across both payers.

Medicaid revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and the single listed code T2022 (Case management, per month) is reported as generating $16.5M in revenue. That concentration means nearly all economic activity reported for this NPI flows through recurring case-management billing rather than a diversified set of service codes.

The code-level profile (T2022 – Case management, per month) and its volume—87.5K claims at an $189 avg paid/claim for $16.5M revenue—identify the organization as a recurring/monthly case management operator focused on ongoing care coordination services for Medicaid beneficiaries. The per-month payment structure and high claim count suggest the business model relies on enrollment and sustained monthly service delivery rather than episodic or high-acuity procedures.

Competitive standing within the state for T2022 is moderate: the provider ranks #2 of 5 in-state and is at the 75th percentile for this code, which the source labels as "typical, unremarkable volume for this code." That combination indicates it is a mid-to-upper peer among state providers for Medicaid case management but not a dominant statewide leader.

Claim-level economics show an $189 avg paid/claim alongside very high claim volume (87.5K claims), implying revenue is driven by scale of monthly enrollments rather than high per-encounter reimbursement. This profile is consistent with organizations that prioritize caseload growth and retention to sustain revenue levels.

Tenure is established but relatively recent: NPI enumerated 2017-05-15 (~9 years ago). This duration is sufficient to build sustained Medicaid billing relationships and volume, but the provider’s track record should be interpreted in the context of a single-digit-year presence.

Because 100.0% of Medicaid revenue maps to a case-management code, the provider’s financial performance is sensitive to changes in Medicaid case-management program rules, per-member-per-month rates, and enrollment dynamics. Any shifts in state policy or contracting for T2022-style services would likely have an outsized impact on this entity’s revenue.

The absence of Medicare billing means this provider’s market exposure is concentrated in Medicaid programs; it does not appear to participate meaningfully in Medicare fee-for-service or related Medicare program billing based on the available data. Analysts evaluating payer mix, contract strategy, or competitive expansion should therefore treat the enterprise as Medicaid-centric unless other data indicate Medicare enrollment or billing elsewhere.

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
T2022	Case management, per month	87,460	$190	$16.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Ace Care Management LLC — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	2	10	240	$190	$17M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emory Medical Care Foundation Inc	GA	Internal Medicine Physician	$0	$41.4M
Grady Memorial Hospital Corporation	GA	Family Medicine Physician	$0	$5.9M
Children's Healthcare Of Atlanta At Hughes Spalding	GA	Children's Hospital	$0	$5.2M
Grady Memorial Hospital Corporation	GA	General Acute Care Hospital	$0	$1.7M
Walker Family Services LLC	GA	Community/Behavioral Health Agency	$0	$1.2M
Emerginet, LLC	GA	Emergency Medical Services (Emergency Medicine) Physician	$0	$790.7K
Ronak Shah	GA	Diagnostic Radiology Physician	$710.2K	$0
Emerginet Henry, LLC	GA	Emergency Medical Services (Emergency Medicine) Physician	$0	$413.4K
Time Organization, Inc.	GA	Psychiatry Physician	$0	$283.8K
April Farley	GA	Diagnostic Radiology Physician	$243.5K	$550

Ace Care Management LLC — Billing Profile & Reimbursement Data

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Ace Care Management LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References