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

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

Camelot Care Centers, LLC (NPI 1831397645)

Field	Value
Entity Type	Organization
Organization	Camelot Care Centers, LLC
Address	446 James Robertson Pkwy Ste 201
City	Nashville
State	TN
ZIP	37219
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 3, 2007

Payer Source	Total Paid
Medicaid	$113.1M
Medicare	$0

Key Findings

CAMELOT CARE CENTERS, LLC is effectively a Medicaid-focused provider with no Medicare billing on file; its lifetime Medicaid revenue is $113.1M and Medicare revenue is explicitly noted as none, indicating near-total dependence on state Medicaid programs for billed services. The provider’s NPI has been enumerated since 2007-07-03 (~19 years ago), showing a long tenure in the market that supports established relationships with payers and referral sources.

Revenue concentration is high: the precomputed top three Medicaid codes account for 70.9% of the provider’s total Medicaid revenue, signaling dependency on a narrow set of service lines. Specifically, H2020, H0019, and S0280 together drive the majority of revenue, which creates both operational focus and potential exposure if contracting or utilization for those services changes.

The code mix shows the organization is centered on residential and intensive behavioral health services plus care coordination: H2020 (Therapeutic behavioral services, per diem) and H0019 (long-term residential without room and board, per diem) comprise the largest revenue shares, and S0280 (Medical home program, initial plan) is also a top revenue driver. This pattern is consistent with a community/behavioral health agency that operates residential treatment and extensive care coordination programs rather than primarily outpatient or medical-surgical services.

CAMELOT is a statewide leader on several high-volume behavioral-health codes. It ranks #2 of 36 for H2020 (97th percentile), and also ranks in very high percentiles for psychotherapy and evaluation codes such as 90837 (rank #3 of 436, 100th percentile) and 90791 (rank #7 of 310, 98th percentile). These rank positions and the dataset labels (“notably above typical” and “extreme outlier”) indicate the provider is a major in-state supplier for these specific behavioral health services.

Several codes show exceptionally large claim volumes relative to peers: S0280 appears in the top three revenue drivers with 128.3K claims and $21.4M revenue (19.0% of Medicaid revenue), while H2020 has 16.9K claims and $31.6M revenue (28.0%). The dataset flags for H2020 and 90837 as “notably above typical state volume” and for 90791 as an “extreme outlier” support characterizing these lines as unusually intensive compared with in-state peers. These are operationally important and likely reflect core residential and psychotherapy throughput.

While many codes have typical or unremarkable statewide volumes for this provider (for example H0019 is described as typical and ranks #5 of 15 in-state), the combination of a few dominant high-percentile codes with many additional behavioral health services (psychotherapy CPT codes 90837, 90834, 90847, 90832, and evaluation codes 90791/90792) suggests a broad service offering within behavioral health that includes both high-volume per-diem residential care and high-volume billed psychotherapy and evaluation visits. This breadth supports a vertically integrated behavioral health model spanning assessment, outpatient psychotherapy, care coordination, and residential stays.

Several coordinated-care and maintenance fees (G9004-series, G9005, G9010/9011, etc.) appear with high claim counts but $0 reported paid amounts in this dataset; these items together are present at meaningful claim volumes (e.g., G9005 100.7K claims) and may reflect reporting or payment constructs in the state’s managed care arrangements. Analysts should treat these as administrative/contracting artifacts rather than direct revenue drivers given their reported $0 revenue here.

From a competitive risk perspective, the concentration in a small number of high-revenue codes means contracting shifts or policy changes affecting H2020, H0019, or S0280 could materially affect the provider’s fiscal profile. Conversely, the provider’s demonstrated high ranks on key residential and psychotherapy codes imply negotiating leverage with Medicaid plans in Tennessee for those service lines due to their substantial statewide throughput and specialist positioning.

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2020	Therapeutic behavioral services, per diem	16,940	$1,870	$31.6M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	8,830	$3,080	$27.2M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	128,320	$170	$21.4M
H0037	Community psychiatric supportive treatment program, per diem	125,060	$90	$11.1M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	520	$8,120	$4.2M
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…	63,880	$60	$4.1M
S5145	Foster care, therapeutic, child; per diem	4,060	$640	$2.6M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	62,490	$40	$2.5M
G9002	Coordinated care fee, maintenance rate	28,560	$70	$1.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30,150	$60	$1.8M

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Camelot Care Centers, LLC — 7 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	9	10	770	$9,920	$22M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	10	40	22,180	$140	$21.3M
H0037	Community psychiatric supportive treatment program, per diem	6	20	20,260	$150	$19.4M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	5	20	1,590	$1,740	$16.5M
H2020	Therapeutic behavioral services, per diem	2	40	880	$1,910	$5.9M
G9002	Coordinated care fee, maintenance rate	4	10	13,140	$80	$3.5M
S5145	Foster care, therapeutic, child; per diem	4	20	1,370	$590	$1.5M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	9	360	350	$50	$414.4K
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…	3	440	530	$70	$282.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	14	300	480	$30	$221.2K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Camelot Care Centers, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Health Network LLC	TN	Nurse Practitioner	$0	$44.4M
Gastroenterology & Surgery Center Of Arkansas, Ii, LLC.	TN	Ambulatory Surgical Clinic/Center	$540K	$2.8M
Ultra Health LLC	TN	Geriatric Medicine (Internal Medicine) Physician	$0	$3.3M
Matrix Medical Plus	TN	Nurse Practitioner	$0	$3.2M

Camelot Care Centers, LLC — Billing Profile & Reimbursement Data

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Camelot Care Centers, LLC — 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