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.

Citrus Health Network Inc (NPI 1821138819)

Field	Value
Entity Type	Organization
Organization	Citrus Health Network Inc
Address	4175 W 20th Ave
City	Hialeah
State	FL
ZIP	33012
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicaid	$50.5M
Medicare	$0

Key Findings

CITRUS HEALTH NETWORK INC is effectively a Medicaid-focused provider: it reports $50.5M in lifetime Medicaid revenue and has no Medicare billing on file, so its commercial/Medicare exposure appears nil and operational reliance is concentrated on Medicaid payers. This makes the organization a single-payer (Medicaid) operation for the claims in this dataset, which shapes revenue risk and contracting strategy.

Revenue is highly concentrated in a small set of service codes: the precomputed top three Medicaid codes account for 69.6% of the provider’s total Medicaid revenue, led by H2017 ($14.7M, 29.1%), T1015 ($10.2M, 20.3%), and T1017 ($10.2M, 20.2%). This concentration indicates the bulk of billing and reimbursement is driven by a few high-volume behavioral health service lines rather than a broad mix of outpatient medical services.

The code mix indicates a core operational focus on community-based behavioral health and care coordination: H2017 (psychosocial rehabilitation services), T1015 (clinic visit/encounter, all-inclusive), and T1017 (targeted case management) together dominate revenue, reflecting high-volume psychosocial rehab, routine clinic encounters, and intensive case management as primary service lines. The presence of per-15-minute codes at scale suggests workflows organized around frequent, time-based therapeutic and case-management encounters rather than low-frequency medical visits.

CITRUS is a clear statewide leader on several high-volume behavioral codes: H2017 ranks #1 of 981 providers in-state at the 100th percentile and is labeled an extreme outlier, and T1015 ranks #2 of 682 providers in-state at the 100th percentile (also an extreme outlier). These rankings indicate the provider operates at an outsized scale for psychosocial rehabilitation and all-inclusive clinic encounters relative to Florida peers, positioning it as a dominant regional player for those services.

Several additional mental-health codes further reinforce that dominance: H0032 (mental health service plan development by non-physician) is #6 of 1134 providers in-state at the 100th percentile and called an extreme outlier, while H0031 (mental health assessment by non-physician) is #8 of 1163 providers in-state at the 99th percentile. Together these extreme-outlier rankings across care-planning and assessment codes suggest deep capacity in non-physician behavioral health staffing and structured program delivery.

CITRUS also reports high-volume programmatic services beyond per-15-minute therapy: H0040 (assertive community treatment program, per diem) generated $3.6M and ranks #2 of 38 providers in-state (97th percentile), indicating a substantial ACT program capacity; by contrast H2019 (therapeutic behavioral services) generated $4.6M and ranks in the 98th percentile, reflecting typical but significant use of targeted therapeutic services. These program-level lines imply both time-based outpatient therapy and intensive community treatment are material components of the business.

Outside the top revenue drivers there is a modest revenue tail and some clinical breadth: codes like H2000 ($1M), H2030 ($634.4K), 99213 ($4.4K), and H2010 ($4.6K) appear in the dataset but contribute relatively little to total Medicaid revenue. This pattern indicates the organization offers a broader set of behavioral and limited medical/office services, but they do not materially change the provider’s Medicaid revenue profile, which remains dominated by the top behavioral codes.

The NPI tenure (enumerated on 2007-02-07, ~19 years ago) reflects long-standing operation in Florida’s behavioral health market; combined with multiple 100th-percentile and extreme-outlier code rankings, this tenure supports the conclusion that CITRUS HEALTH NETWORK INC is an established regional behavioral health agency with the operational scale and staffing model to deliver high volumes of psychosocial rehabilitation, clinic encounters, and case management.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	225,950	$70	$14.7M
T1015	Clinic visit/encounter, all-inclusive	189,790	$50	$10.2M
T1017	Targeted case management, each 15 minutes	167,440	$60	$10.2M
H2019	Therapeutic behavioral services, per 15 minutes	66,240	$70	$4.6M
H0040	Assertive community treatment program, per diem	145,810	$30	$3.6M
H0032	Mental health service plan development by non-physician	36,890	$60	$2.3M
S5145	Foster care, therapeutic, child; per diem	19,010	$110	$2.1M
H2000	Comprehensive multidisciplinary evaluation	5,900	$170	$1M
H0031	Mental health assessment, by non-physician	41,070	$20	$944.7K
H2030	Mental health clubhouse services, per 15 minutes	16,690	$40	$634.4K

Showing 1–10 of 13

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

Citrus Health Network Inc — 8 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	5	10	11,250	$140	$3.3M
T1017	Targeted case management, each 15 minutes	12	560	7,680	$50	$1.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	1	980	4,890	$100	$1.3M
H0040	Assertive community treatment program, per diem	2	40	49,330	$20	$1.1M
H2019	Therapeutic behavioral services, per 15 minutes	45	1,880	1,010	$70	$544.5K
T1015	Clinic visit/encounter, all-inclusive	2	680	680	$50	$308.4K
H2030	Mental health clubhouse services, per 15 minutes	3	30	920	$60	$223.1K
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…	3,837	5,930	460	$40	$169.3K
H2000	Comprehensive multidisciplinary evaluation	15	400	110	$150	$162.7K
H0032	Mental health service plan development by non-physician	6	1,130	110	$60	$91.7K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Citrus Health Network Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caring Professional Services Inc	FL	Home Health Agency	$0	$158.8M
Agape Nurse Registry	FL	Home Health Agency	$0	$101.7M
At Talitha Cumi Home Care, Inc	FL	Attendant Care Provider	$0	$50.6M
Angel Speech And Therapy Services, Inc.	FL	Clinic/Center	$0	$20.6M
Kidscare Therapy Center Inc	FL	Clinic/Center	$0	$16.7M
Variety Children's Hospital	FL	Children's Hospital	$0	$15.5M
Florida Children's Dentistry, P.A.	FL	Pediatric Dentistry	$0	$14.8M
Get A Grip 123 LLC	FL	Durable Medical Equipment & Medical Supplies	$0	$13.2M
Healing Touch C&c Inc	FL	Health Service Clinic/Center	$0	$10.8M
Homed Care Inc	FL	Home Health Agency	$0	$9.9M

Citrus Health Network Inc — Billing Profile & Reimbursement Data

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Citrus Health Network 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