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    OpenPayerNPI Medicare & MedicaidChhuny, LLC
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    Chhuny, LLC — Billing Profile & Reimbursement Data

    NPI 1447641493 · Rochester, NY · Case Management Agency

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    Chhuny, LLC is a case management agency provider located in Rochester, New York. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationChhuny, LLC
    Address2300 Buffalo Rd Bldg 500b
    CityRochester
    StateNY
    ZIP14624
    TaxonomyCase Management Agency
    NPI EnumeratedFebruary 12, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$331.1M
    Medicare$0

    Key Findings

    CHHUNY, LLC is effectively a single-payer Medicaid-focused operator: there is no Medicare billing on file and the provider reports $331.1M in lifetime Medicaid revenue, indicating its business is concentrated entirely in Medicaid-funded case management services. This scale of Medicaid-only revenue positions the entity as a large, specialized Medicaid contractor rather than a mixed Medicare/Medicaid provider.

    Revenue is extremely concentrated in a narrow set of case-management services: the precomputed top 3 Medicaid codes account for 99.9% of the provider’s total Medicaid revenue, with T2022 alone representing $321.5M or 97.1% of Medicaid revenue. That heavy dependence on a single monthly case-management code indicates the organization’s financial performance is tightly tied to continued reimbursement and utilization of T2022.

    The code mix and descriptions point to a primarily care-coordination and chronic care management operation: T2022 (Case management, per month) is the dominant service line, supplemented by time-based case management T1016 (each 15 minutes, $5M revenue) and chronic care management planning recorded under G0506 ($4.1M revenue). Together these codes reflect an operational model built around ongoing monthly case management and structured chronic care planning rather than episodic procedural care.

    CHHUNY is a dominant statewide provider for key case-management codes: it ranks #1 of 83 providers in-state for T2022 (100th percentile; labeled an extreme outlier) and ranks #2 of 116 for G0506 (99th percentile; also an extreme outlier). These rank and percentile placements indicate the organization operates at a scale for those services far above typical state peers and is a major competitor for Medicaid case-management volume.

    For secondary codes the provider’s participation appears more typical: T1016 (14.4K claims, $350 avg paid/claim, $5M revenue) ranks #15 of 41 (65th percentile) and represents 1.5% of Medicaid revenue, while G9001 and S5165 contribute minimal shares (<0.1% each). These smaller, more typical volumes suggest ancillary service offerings supplement the core monthly case-management program but do not materially change the revenue profile.

    Tenure and operational longevity are established: the NPI was enumerated on 2015-02-12 (~11 years ago), indicating over a decade of enrollment during which the organization built the substantial Medicaid volumes reflected here. That length of activity supports the interpretation of the large T2022 and G0506 volumes as sustained programmatic operations rather than very recent spikes.

    The extreme concentration in a few codes creates business risk and strategic dependency: with T2022 accounting for 97.1% of Medicaid revenue and the top three codes accounting for 99.9%, changes to state Medicaid policy, code edits, or payment rates for monthly case management or chronic care planning could materially affect the provider’s revenue. Analysts should treat the provider as highly exposed to reimbursement and utilization shifts in Medicaid case-management services.

    Operational footprint and competitive signal: given the massive T2022 volume (588.8K claims, $546 avg paid/claim) and top-rank status, CHHUNY functions as a high-volume case-management operator in New York. Its position as an extreme outlier for both monthly case management and care-planning codes suggests it is a primary statewide supplier of these services and a central player to monitor when assessing the Medicaid case-management market in New York.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T2022Case management, per month588,800$550$321.5M
    T1016Case management, each 15 minutes14,430$350$5M
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)22,070$190$4.1M
    G9001Coordinated care fee, initial rate3,340$80$250.7K
    S5165Home modifications; per service280$710$200.5K
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.20$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.

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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2022Case management, per month180360$550$11.6M
    T1016Case management, each 15 minutes15403,630$220$3.7M
    S5165Home modifications; per service510280$1,530$1.3M
    G9001Coordinated care fee, initial rate9401,500$80$206.5K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)212070$140$107.6K
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.856880210$1$110

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acm Medical Laboratory IncNYClinical Medical Laboratory$0$40.9M
    Depaul Adult CareNYAssisted Living Facility$0$37.6M
    Healthdirect Institutional Pharmacy Services, Inc.NYLong Term Care Pharmacy$111.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New York Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Chhuny, LLC — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York