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

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

Collaborative Effort To Reinforce Transition Success, Inc (NPI 1518575596)

Field	Value
Entity Type	Organization
Organization	Collaborative Effort To Reinforce Transition Success, Inc
Address	52 Reads Way
City	New Castle
State	DE
ZIP	19720
Taxonomy	Intellectual & Developmental Disabilities Psychologist
NPI Enumerated	July 16, 2020

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

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
T2020	Day habilitation, waiver; per diem	17,960	$220	$4M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Collaborative Effort To Reinforce Transition Success, Inc — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2020	Day habilitation, waiver; per diem	8	10	19,250	$120	$6.3M

Nearby Providers

Other providers in the same ZIP code as Collaborative Effort To Reinforce Transition Success, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Delaware & Marylands Eastern Shore, Inc	DE	Intellectual & Developmental Disabilities Psychologist	$0	$315.9M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$61.2M
Conexio Care, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.8M
Nurses 'n Kids, Inc.	DE	Medically Fragile Infants and Children Day Care	$0	$14.3M
Delaware Diagnostic Labs, LLC	DE	Clinical Medical Laboratory	$3.1M	$8.5M
Point Of Hope Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$10M
Anesthesia Services PA	DE	Anesthesiology Physician	$0	$6.3M
Abundant Life Community Development Corporation	DE	Intellectual & Developmental Disabilities Psychologist	$0	$2M
State Of Delaware	DE	Local Education Agency (LEA)	$0	$2M
Family Care Associates, Inc	DE	Family Medicine Physician	$0	$1.6M

Collaborative Effort To Reinforce Transition Success, Inc — Billing Profile & Reimbursement Data

Sign up for Collaborative Effort To Reinforce Transition Success, Inc — Billing Profile & Reimbursement Data policy alerts

Collaborative Effort To Reinforce Transition Success, Inc — Billing Profile & Reimbursement Data

Sign up for Collaborative Effort To Reinforce Transition Success, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References