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

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

Circles Of Care, Inc. (NPI 1679541031)

Field	Value
Entity Type	Organization
Organization	Circles Of Care, Inc.
Address	400 E Sheridan Rd
City	Melbourne
State	FL
ZIP	32901
Taxonomy	Psychiatric Hospital
NPI Enumerated	March 10, 2006

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	85,830	$80	$7.2M
T1015	Clinic visit/encounter, all-inclusive	69,370	$20	$1.5M
H2019	Therapeutic behavioral services, per 15 minutes	31,930	$50	$1.4M
T1017	Targeted case management, each 15 minutes	10,640	$40	$415K
H0032	Mental health service plan development by non-physician	8,780	$40	$386.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,050	$190	$197.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	3,730	$40	$134.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	12,530	$10	$62.6K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,250	$50	$57.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	8,480	$10	$50.9K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Circles Of Care, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	248	560	7,680	$50	$1.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	14	980	4,890	$100	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	112	1,880	1,010	$70	$544.5K
T1015	Clinic visit/encounter, all-inclusive	17	680	680	$50	$308.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	414	5,930	460	$40	$169.3K
H2000	Comprehensive multidisciplinary evaluation	145	400	110	$150	$162.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,411	6,380	430	$50	$139.3K
H2015	Comprehensive community support services, per 15 minutes	5	10	930	$40	$116.9K
H0032	Mental health service plan development by non-physician	49	1,130	110	$60	$91.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	20	500	340	$50	$89.7K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Circles Of Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Luis Vinuela	FL	Geriatric Psychiatry Physician	$166.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brevard Physician Associates, PLLC	FL	Anesthesiology Physician	$0	$12.7M
Holmes Regional Medical Center, Inc.	FL	General Acute Care Hospital	$0	$12.3M
Central Florida Kidney Centers Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10.5M
Health First Medical Group, LLC	FL	General Practice Physician	$0	$7.7M
Florida Clinical Laboratory, Inc	FL	Clinical Medical Laboratory	$4.7M	$549K
Sumeet Thareja	FL	Specialist	$4M	$0
Hetal Vaishnav	FL	Ophthalmology Physician	$2M	$0
Melbourne Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$935.1K	$1.1M
Vrinda Hershberger	FL	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Gary Ganiban	FL	Ophthalmology Physician	$1.7M	$0

Circles Of Care, Inc. — Billing Profile & Reimbursement Data

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Circles Of Care, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References