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

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

Carestar, Inc. (NPI 1447652227)

Field	Value
Entity Type	Organization
Organization	Carestar, Inc.
Address	4540 Cooper Rd Ste 200
City	Cincinnati
State	OH
ZIP	45242
Taxonomy	Case Management Agency
NPI Enumerated	September 23, 2014

Payer Source	Total Paid
Medicaid	$43.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	982,770	$40	$35.4M
T2022	Case management, per month	7,970	$480	$3.8M
T2023	Targeted case management; per month	2,330	$1,160	$2.7M
T2038	Community transition, waiver; per service	950	$1,030	$979.3K
H2000	Comprehensive multidisciplinary evaluation	1,240	$160	$192.7K
G9002	Coordinated care fee, maintenance rate	6,990	$0	$0
G9005	Coordinated care fee, risk adjusted maintenance	10	$0	$0
G9006	Coordinated care fee, home monitoring	3,770	$0	$0
G9007	Coordinated care fee, scheduled team conference	610	$0	$0
G9009	Coordinated care fee, risk adjusted maintenance, level 3	120	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Carestar, Inc. — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	1	10	11,720	$40	$5.8M
T2022	Case management, per month	10	40	700	$150	$1.8M
T2023	Targeted case management; per month	6	20	1,050	$380	$1.2M
T2038	Community transition, waiver; per service	1	10	890	$980	$867K
H2000	Comprehensive multidisciplinary evaluation	4	40	140	$150	$49.2K
G9009	Coordinated care fee, risk adjusted maintenance, level 3	8	20	70	$10	$6K
G9002	Coordinated care fee, maintenance rate	12	30	1,870	$0	$0
G9005	Coordinated care fee, risk adjusted maintenance	4	10	10	$0	$0
G9006	Coordinated care fee, home monitoring	16	60	220	$0	$0
G9007	Coordinated care fee, scheduled team conference	9	20	310	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$63.6M
Bethesda Hospital Inc	OH	General Acute Care Hospital	$0	$57M
Hospice Of Cincinnati Incorporated	OH	Community Based Hospice Care Agency	$0	$54M
Counseling Source Inc	OH	Mental Health Counselor	$0	$41M
Mercy Health Physicians Cincinnati, LLC	OH	Family Medicine Physician	$0	$27.9M
Qualified Emergency Specialists Inc	OH	Emergency Medicine Physician	$0	$18.9M
Crossroads Hospice Of Cincinnati	OH	Community Based Hospice Care Agency	$0	$14.6M
A Best Home Care,inc.	OH	Home Health Agency	$0	$10.4M
Cei Physicians Psc LLC	OH	Ophthalmology Physician	$0	$8.5M
Mercy Health Physicians Cincinnati Specialty Care LLC	OH	Surgery Physician	$0	$7.1M

Carestar, Inc. — Billing Profile & Reimbursement Data

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Carestar, 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

Nearby Providers

Frequently Asked Questions

References