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

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

Centerwell Certified Healthcare Corp. (NPI 1588691448)

Field	Value
Entity Type	Organization
Organization	Centerwell Certified Healthcare Corp.
Address	99 Hawley Lane
City	Stratford
State	CT
ZIP	06614
Taxonomy	Home Health Agency
NPI Enumerated	June 27, 2006

Payer Source	Total Paid
Medicaid	$48M
Medicare	$0

Key Findings

CENTERWELL CERTIFIED HEALTHCARE CORP. reports no Medicare billing on file and $48M in lifetime Medicaid revenue, so the entity is effectively a Medicaid-focused, single-payer operation in the dataset rather than a mixed Medicare/Medicaid provider. This payer mix implies most financial and utilization signals in its profile should be interpreted through a Medicaid lens.

The provider's NPI was enumerated 2006-06-27 (~20 years ago), indicating roughly two decades of registration that are consistent with an established home health agency presence and potential long-standing referral relationships in its market. Tenure at this scale can support operational continuity and scale in delivering in-home clinical services.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 97.8% of total Medicaid revenue, with a single code, T1502, contributing $43.6M (90.9% of this provider's total Medicaid revenue). That concentration shows the business is highly dependent on one service line for the vast majority of its Medicaid receipts.

The top codes by revenue—T1502 (Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit), S9123 (Nursing care in the home by registered nurse, per hour), and G0162 (Skilled services by an RN for plan-of-care management and evaluation, each 15 minutes)—point to a service model focused on hands-on in-home nursing and medication administration rather than broad therapy or durable equipment lines. This mix suggests operational emphasis on skilled nursing visits and medication administration as the core delivered services.

Competitive standing within the state varies by code: T1502 generates $43.6M and ranks #2 of 37 providers in-state (97th percentile) but is labeled as typical, unremarkable volume for this code; S9123 produced $2.4M (5.1% of Medicaid revenue) and ranks #21 of 79 (74th percentile) with a typical, unremarkable volume characterization; G0162 produced $862.3K (1.8%) and ranks #5 of 63 (94th percentile) and is also described as typical, unremarkable volume. These ranks indicate the provider is near the top of state peers for some nursing services while maintaining generally typical volume patterns as characterized in the data.

Several secondary codes show modest contributions relative to the T1502-dominated revenue mix: T1004 accounts for $848.4K (1.8% of Medicaid revenue) with 44.7K claims and $19 avg paid/claim, T1001 accounts for $202.6K (0.4%) with 3.2K claims and $63 avg paid/claim, and S9124 is minimal at $10.6K (0.0%) with 204 claims and ranks #64 of 65 providers in-state (2th percentile). These figures indicate limited revenue from aide-level and LPN-hour services compared with RN-led medication administration and skilled nursing.

Given that T1502 alone represents $43.6M and 90.9% of Medicaid revenue, the provider faces concentrated reimbursement exposure: changes in Medicaid coverage, coding guidance, or payment rates for medication-administration visits could materially affect overall revenue. Operationally, sustaining diversification away from a single dominant code would be important for reducing that program-specific revenue risk.

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 Code	Description	Claims	Avg Paid	Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	969,410	$50	$43.6M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	38,130	$60	$2.4M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	23,950	$40	$862.3K
T1004	Services of a qualified nursing aide, up to 15 minutes	44,650	$20	$848.4K
T1001	Nursing assessment / evaluation	3,220	$60	$202.6K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	200	$50	$10.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Centerwell Certified Healthcare Corp. — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	2	40	98,180	$50	$17.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	64	70	5,660	$150	$3.6M
T1004	Services of a qualified nursing aide, up to 15 minutes	21	60	26,810	$40	$2.8M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	21	80	14,190	$80	$2.7M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	5	60	4,250	$50	$511.6K
T1001	Nursing assessment / evaluation	9	60	1,000	$60	$140.5K

Nearby Providers

Other providers in the same ZIP code as Centerwell Certified Healthcare Corp., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Care Visiting Nurse & Home Health Care Agency, LLC	CT	Home Health Agency	$0	$119M
David Chess	CT	Internal Medicine Physician	$41.7M	$150.5K
Equinox Home Care, LLC	CT	Home Health Agency	$0	$20.5M
Dr. Dental Of Connecticut, PC	CT	General Practice Dentistry	$0	$13.1M
Premier Oral Surgery And Implantology Center LLC	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$6.7M
Sunset Shores Of Milford, Inc.	CT	Adult Day Care Clinic/Center	$0	$4.6M
Mdcarenow LLC	CT	Internal Medicine Physician	$0	$4.5M
Southern Connecticut Vascular Center, LLC	CT	Vascular Surgery Physician	$0	$4.3M
Holistic Psychiatric Services LLC	CT	Psychiatric/Mental Health Nurse Practitioner	$0	$2.3M
Pathwell Ct, Inc.	CT	Home Health Agency	$0	$1.6M

Centerwell Certified Healthcare Corp. — Billing Profile & Reimbursement Data

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Centerwell Certified Healthcare Corp. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References