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.

Caretenders Of Cleveland, Inc (NPI 1619088705)

Field	Value
Entity Type	Organization
Organization	Caretenders Of Cleveland, Inc
Address	2604 Hubbard Rd
City	Madison
State	OH
ZIP	44057
Taxonomy	Home Health Agency
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$41.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	365,820	$60	$22.3M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	198,670	$40	$7.4M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	169,380	$30	$5.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	107,110	$50	$4.8M
T1001	Nursing assessment / evaluation	17,540	$30	$543.7K
T1002	Rn services, up to 15 minutes	6,490	$70	$441.1K
T1003	Lpn/lvn services, up to 15 minutes	3,380	$40	$125K
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	130	$160	$19.9K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	350	$50	$16.9K
Q5001	Hospice or home health care provided in patient's home/residence	40	$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

Caretenders Of Cleveland, Inc — 4 of 9 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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	58	60	15,120	$270	$8.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	12	830	20,350	$70	$3.1M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	51	480	27,490	$30	$2.5M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	5	380	4,540	$40	$794.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	9	560	3,370	$40	$543.8K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	124	200	950	$60	$281.1K
T1002	Rn services, up to 15 minutes	50	290	620	$50	$192.8K
T1003	Lpn/lvn services, up to 15 minutes	71	240	960	$30	$155.6K
T1001	Nursing assessment / evaluation	3	500	490	$30	$45.4K
Q5001	Hospice or home health care provided in patient's home/residence	24	30	220	$1	$700

Caretenders Of Cleveland, 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

Frequently Asked Questions

References