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

Why is the Medicaid comparison limited to New York 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. New York (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.

Coordinated Behavioral Care, Inc (NPI 1730451071)

Field	Value
Entity Type	Organization
Organization	Coordinated Behavioral Care, Inc
Address	40 Rector St
City	New York
State	NY
ZIP	10006
Taxonomy	Case Management Agency
NPI Enumerated	February 2, 2012

Payer Source	Total Paid
Medicaid	$407.1M
Medicare	$0

Key Findings

COORDINATED BEHAVIORAL CARE, INC is a New York–based Case Management Agency with Medicaid-only billing on file: lifetime Medicaid revenue is $407.1M and there is no Medicare revenue reported. The provider’s NPI was enumerated on 2012-02-02 (~14 years ago), indicating more than a decade of active billing history focused on Medicaid programs.

Revenue for this provider is extremely concentrated: the top three Medicaid codes (G9005, T2022, T1016) collectively account for 99.5% of its total Medicaid revenue. That concentration means most of the $407.1M is driven by a very small set of service lines rather than a broad mix of procedure codes.

The code mix strongly indicates the organization operates primarily as a large-scale care coordination and case management operator: G9005 (coordinated care fee, risk adjusted maintenance), T2022 (case management, per month), and T1016 (case management, each 15 minutes) make up the dominant services billed. The presence of G0506 (comprehensive assessment and care planning for chronic care management services) further supports that the provider performs both ongoing case management and periodic comprehensive care planning.

G9005 is the single largest revenue driver at $288.4M and 939.5K claims, representing 70.8% of this provider’s Medicaid revenue; the provider ranks #1 of 37 in-state for this code and is described as an "extreme outlier, far above typical state volume for this code." This indicates statewide dominance in billing for the coordinated care fee and suggests a uniquely large panel or enrollment for the specific program tied to that code.

T2022 is the second major contributor with $103.1M from 213.9K claims and an average paid/claim of $482; it accounts for 25.3% of the provider’s Medicaid revenue and ranks #3 of 83 in-state (98th percentile, "notably above typical state volume"). This ranking shows the provider is a major regional participant in monthly case management services as well as in the high-dollar-per-claim segment of its service mix.

T1016 contributes $13.6M from 47.2K claims (3.3% of Medicaid revenue) and ranks #6 of 41 in-state (88th percentile, described as "typical, unremarkable volume"). While materially smaller than G9005 and T2022, T1016 appears as a consistent secondary revenue stream reflecting time-based case management activity billed in 15-minute units.

G0506 ($1.6M, 8.6K claims) ranks #4 of 116 in-state (97th percentile, "notably above typical state volume"), signaling that the provider also bills separately for comprehensive chronic care assessments in addition to recurring case management fees. Other listed codes (G9001, H0002, 99080) represent immaterial shares of revenue and occupy middle-to-lower state rank positions, indicating limited diversification beyond the core coordinated-care and case management services.

Because the provider’s Medicaid revenue is so heavily concentrated in a tiny set of codes (99.5% from the top three), its financial performance and operational risk are likely sensitive to policy, rate, or utilization changes affecting G9005 and T2022 specifically. Analysts should consider this concentration when assessing the provider’s resilience to contractual or regulatory shifts in Medicaid managed-care payments tied to those codes.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9005	Coordinated care fee, risk adjusted maintenance	939,460	$310	$288.4M
T2022	Case management, per month	213,900	$480	$103.1M
T1016	Case management, each 15 minutes	47,170	$290	$13.6M
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	8,640	$190	$1.6M
G9001	Coordinated care fee, initial rate	4,300	$80	$331.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	120	$100	$11.3K
99080	The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.	120	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Coordinated Behavioral Care, Inc — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9005	Coordinated care fee, risk adjusted maintenance	1	40	105,510	$300	$55.6M
T2022	Case management, per month	3	80	360	$550	$11.6M
T1016	Case management, each 15 minutes	6	40	3,630	$220	$3.7M
G9001	Coordinated care fee, initial rate	8	40	1,500	$80	$206.5K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	4	120	70	$140	$107.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	108	200	140	$110	$65.4K
99080	The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.	530	880	210	$1	$110

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jisun Cha	NY	Dermatopathology Physician	$1.3M	$5.7K
Yevgeniy Sorokin	NY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$595.1K	$0
Jeanjacques Mbabuike	NY	General Practice Physician	$482.9K	$9.9K
Alexander Slotwiner	NY	Interventional Cardiology Physician	$169K	$96.8K
Alan Greenspan	NY	Dermatology Physician	$230K	$0
Jeffrey Goldstein	NY	Orthopaedic Surgery of the Spine Physician	$151.6K	$0
Brian Waldron	NY	Neuromusculoskeletal Medicine & OMM Physician	$124.5K	$0
Cynthia Sommer	NY	Nurse Practitioner	$102.6K	$0
Mendel Markowitz	NY	Oral and Maxillofacial Surgery (Dentist)	$97.6K	$0
Eileen Janec	NY	Gastroenterology Physician	$73.2K	$0

Coordinated Behavioral Care, Inc — Billing Profile & Reimbursement Data

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Coordinated Behavioral Care, Inc — 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