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.

Carecentrix, Inc. (NPI 1417097593)

Field	Value
Entity Type	Organization
Organization	Carecentrix, Inc.
Address	9119 Corporate Lake Dr Ste 200
City	Tampa
State	FL
ZIP	33634
Taxonomy	Case Management Agency
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2357	Injection, omalizumab, 5 mg	1,340	$2,260	$3M
E0601	Continuous positive airway pressure (CPAP) device	17,650	$90	$1.6M
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	4,760	$320	$1.5M
A7030	Full face mask used with positive airway pressure device, each	10,310	$130	$1.3M
J2315	Injection, naltrexone, depot form, 1 mg	790	$1,090	$859.2K
E0562	Humidifier, heated, used with positive airway pressure device	4,120	$200	$807.5K
A4604	Tubing with integrated heating element for use with positive airway pressure device	16,570	$50	$778.8K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	8,940	$80	$705.9K
A7031	Face mask interface, replacement for full face mask, each	7,740	$60	$487.8K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…	1,520	$270	$409.7K

Showing 1–10 of 33

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

Carecentrix, Inc. — 15 of 25 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2315	Injection, naltrexone, depot form, 1 mg	1	10	790	$1,090	$859.6K
J2357	Injection, omalizumab, 5 mg	1	10	750	$1,070	$763K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	11	20	1,940	$80	$354.3K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	12	10	3,470	$40	$300.6K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	82	80	150	$440	$271.5K
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	1	10	100	$190	$178.2K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…	3	10	1,780	$90	$133K
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	11	10	1,860	$40	$132.8K
E0601	Continuous positive airway pressure (CPAP) device	4	180	1,690	$40	$128.1K
J0585	Injection, onabotulinumtoxina, 1 unit	18	20	80	$430	$124.8K

Showing 1–10 of 33

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Plus Inc.	FL	Home Health Agency	$0	$37M
Enos Home Oxygen Therapy, Inc.	MA	Durable Medical Equipment & Medical Supplies	$0	$22M
Adewale Fawole	FL	Medical Oncology Physician	$1.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option Care Enterprises, Inc.	FL	Home Infusion Therapy Pharmacy	$0	$29.3M
Families First Of Florida LLC	FL	Community/Behavioral Health Agency	$0	$25.4M
Bioscrip Infusion Services, LLC	FL	Home Infusion Therapy Pharmacy	$0	$12.5M
Ruffolo Hooper & Associates Md PA	FL	Anatomic Pathology & Clinical Pathology Physician	$0	$10.1M
Eye Doctors Optical Outlets PA	FL	Optometrist	$0	$9.2M
Physicians Toxicology Laboratory, LLC	FL	Clinical Medical Laboratory	$1.6M	$6.1M
Delivrxd LLC	FL	Community/Retail Pharmacy	$4.3M	$1.9K
Infiniti Labs, Inc	FL	Clinical Medical Laboratory	$798.4K	$2.5M
Apex Labs, Inc	FL	Clinical Medical Laboratory	$427.3K	$1.6M
Gh Labb LLC	FL	Clinical Medical Laboratory	$1.2M	$198.1K

Carecentrix, Inc. — Billing Profile & Reimbursement Data

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Carecentrix, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References