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.

The Collaborative For Children And Families (NPI 1417349622)

Field	Value
Entity Type	Organization
Organization	The Collaborative For Children And Families
Address	590 Avenue Of The Americas
City	New York
State	NY
ZIP	10011
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	February 25, 2015

Payer Source	Total Paid
Medicaid	$347.5M
Medicare	$0

Key Findings

THE COLLABORATIVE FOR CHILDREN AND FAMILIES has no Medicare billing on file and is effectively single‑payer in this dataset, with all documented federal billing coming through Medicaid. Its lifetime Medicaid revenue totals $347.5M, indicating a substantial Medicaid-focused operation rather than a dual‑payer mix.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of the provider's Medicaid revenue, driven overwhelmingly by T2022 (98.7%), with G0506 (1.2%) and G9001 (0.1%) making up the remainder. This concentration indicates a narrow set of billed services that produces virtually all reported Medicaid dollars.

The code mix points to a service model centered on case management and chronic care management: T2022 is listed as Case management, per month, and G0506 is Comprehensive assessment of and care planning for patients requiring chronic care management services. Those codes’ descriptions and relative shares suggest the organization operates a high-volume, recurring monthly care‑coordination program rather than episodic clinical procedures; ancillary codes such as S5150 and G9001 are present but account for negligible revenue.

In-state competitive standing is dominant for the provider’s leading codes: T2022 ranks #2 of 83 providers in-state (99th percentile) and is labeled an extreme outlier in volume, while G0506 ranks #1 of 116 providers in-state (100th percentile) and is also an extreme outlier. By contrast, G9001 (rank #10 of 38, 76th percentile) and S5150 (rank #44 of 61, 28th percentile) show typical, unremarkable participation for those codes, reinforcing that market leadership is concentrated in monthly case-management services.

Claims-level figures underline the operational scale and where revenue concentration occurs: T2022 accounts for 538.5K claims at $637 avg paid/claim for $343M revenue, while G0506 accounts for 22.2K claims at $186 avg paid/claim for $4.1M revenue; G9001 (2.4K claims, $76 avg, $185.6K) and S5150 (701 claims, $194 avg, $136K) are comparatively small. These counts show that T2022 generates both the bulk of claim volume and virtually all Medicaid dollars for the provider.

Operationally, the dominance of a monthly case management code (T2022) implies the provider’s financial performance is tied to recurring enrollment and ongoing care‑management billing cycles; any changes in Medicaid policy, program eligibility, or payer edits affecting monthly case management could materially affect revenue. Given the extreme concentration, continuity of those recurring services is likely critical to the organization’s business model.

The provider’s NPI was enumerated on 2015-02-25 (~11 years ago), indicating roughly a decade of billing history to build its Medicaid footprint. Combined with $347.5M in Medicaid revenue and the provider’s top-code rankings, this tenure supports characterization as an established, Medicaid-focused case management organization with outsized statewide presence for its principal services.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	538,520	$640	$343M
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	22,240	$190	$4.1M
G9001	Coordinated care fee, initial rate	2,440	$80	$185.6K
S5150	Unskilled respite care, not hospice; per 15 minutes	700	$190	$136K

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

The Collaborative For Children And Families — 2 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	44	60	2,490	$110	$15.4M
T2022	Case management, per month	2	80	360	$550	$11.6M
G9001	Coordinated care fee, initial rate	10	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)	1	120	70	$140	$107.6K

Nearby Providers

Other providers in the same ZIP code as The Collaborative For Children And Families, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Project Inc.	NY	Federally Qualified Health Center (FQHC)	$0	$27.4M
John Khadem	NY	Ophthalmology Physician	$1.3M	$330.2K
Avinash Ravilla	NY	General Practice Physician	$1.3M	$0
Julian Sosner	NY	Physical Medicine & Rehabilitation Physician	$79.5K	$720.5K
Lance Brown	NY	Dermatology Physician	$759.6K	$0
Christopher Coad	NY	Specialist	$459.5K	$0
Robert Fafalak	NY	Rheumatology Physician	$409.9K	$15.9K
Eeva Mikkola	NY	Psychiatry Physician	$409.4K	$0
Howard Goldsmith	NY	Foot & Ankle Surgery Podiatrist	$265.6K	$1.7K
Vincent Graziano	NY	Diagnostic Radiology Physician	$255.6K	$0

The Collaborative For Children And Families — Billing Profile & Reimbursement Data

Sign up for The Collaborative For Children And Families — Billing Profile & Reimbursement Data policy alerts

The Collaborative For Children And Families — Billing Profile & Reimbursement Data

Sign up for The Collaborative For Children And Families — 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