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

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

Crf First Choice, Inc. (NPI 1851479711)

Field	Value
Entity Type	Organization
Organization	Crf First Choice, Inc.
Address	1117 N Central Ave
City	Connersville
State	IN
ZIP	47331
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$77.1M
Medicare	$0

Key Findings

CRF FIRST CHOICE, INC. is effectively a single-payer Medicaid operation with Total Medicaid revenue of $77.1M and no Medicare billing on file; this provider has no Medicare revenue recorded and therefore derives essentially all reported public-payer income from Medicaid. The absence of Medicare activity indicates its service mix and patient population are concentrated in Medicaid-covered, long-term habilitation and community-based residential supports rather than acute or fee-for-service Medicare services.

Revenue is extremely concentrated in a very small set of waiver and habilitation codes: the precomputed top 3 Medicaid codes account for 97.0% of the provider's total Medicaid revenue. In particular, T2016 drives the business with $65.7M revenue (85.2% of this provider's total Medicaid revenue), while H0004 contributes $5.9M (7.6%) and T2020 contributes $3.3M (4.2%).

The code mix signals an operation focused on residential and habilitation services: T2016 (T2016 – Habilitation, residential, waiver; per diem) dominance indicates long-stay or per-diem residential habilitation as the core service line, supplemented by billed behavioral health counseling H0004 (H0004 – Behavioral health counseling and therapy, per 15 minutes) and day habilitation T2020 (T2020 – Day habilitation, waiver; per diem). Ancillary supports such as non-emergency transportation T2002 (8.6K claims, $179 avg paid/claim, $1.5M revenue) and monthly case management T2022 (7.8K claims, $100 avg paid/claim, $776.3K revenue) further reflect a full-service community-based residential program model rather than episodic medical care.

Despite the very large absolute dollar amount on T2016, the provider’s in-state standing on that code is not at the top of the market: T2016 ranks #15 of 65 providers in-state (78th percentile; typical, unremarkable volume for this code), which characterizes CRF FIRST CHOICE as a solid but not dominant in-state participant for residential habilitation per diems. That percentile and the accompanying label indicate the provider’s T2016 volume is above median but still within the typical range for peers, not an outlier.

H0004 and T2020 also appear as typical-volume offerings relative to peers: H0004 ranks #20 of 72 providers in-state (73th percentile; typical, unremarkable volume for this code) and T2020 ranks #21 of 61 providers in-state (67th percentile; typical, unremarkable volume for this code). These placements suggest the provider offers behavioral therapy and day habilitation at rates consistent with many peers rather than at unusually high or low volumes.

For certain ancillary services the provider holds relatively stronger in-state positions: T2002 (non-emergency transportation) ranks #8 of 65 providers in-state (89th percentile; typical, unremarkable volume for this code) and T2022 (case management) ranks #13 of 101 providers in-state (88th percentile; typical, unremarkable volume for this code). Those higher percentiles indicate transportation and case management are areas where the provider is above-average among in-state peers, even though they represent smaller portions of total revenue.

The provider’s NPI tenure (enumerated 2006-11-01, ~20 years ago) signals a long-established operation in the market, which aligns with its role as a community-based residential habilitation provider and may reflect stable payer relationships and program continuity. Longevity combined with concentrated revenue lines suggests institutional experience in managing waiver and per-diem billing streams.

From an operational and financial-risk perspective, the 97.0% concentration in the top three Medicaid codes implies substantial sensitivity to reimbursement or waiver-policy changes affecting T2016, H0004, and T2020. Even though volumes for these codes are labeled "typical, unremarkable" in in-state comparisons, the sheer dollar concentration around T2016 means changes to residential habilitation reimbursement would materially affect the provider's $77.1M Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	9,700	$6,770	$65.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	11,300	$520	$5.9M
T2020	Day habilitation, waiver; per diem	8,340	$390	$3.3M
T2002	Non-emergency transportation; per diem	8,640	$180	$1.5M
T2022	Case management, per month	7,760	$100	$776.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Crf First Choice, Inc. — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	15	70	3,190	$630	$14.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	20	70	3,960	$130	$1.9M
T2020	Day habilitation, waiver; per diem	21	60	5,550	$110	$1.4M
T2022	Case management, per month	13	100	710	$180	$1.1M
T2002	Non-emergency transportation; per diem	8	70	2,190	$50	$319.8K

Nearby Providers

Other providers in the same ZIP code as Crf First Choice, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fayette Memorial Hospital Association Inc	IN	Psychiatric Residential Treatment Facility	$0	$3.2M
Meridian Health Services Corp	IN	Federally Qualified Health Center (FQHC)	$0	$2.7M
City Of Connersville	IN	Land Ambulance	$282.3K	$1.4M
Amy Frank	IN	Physical Therapist	$99.7K	$0
Melissa Griffin	IN	Adult Health Nurse Practitioner	$53.4K	$0
Michelle Garner	IN	Adult Health Nurse Practitioner	$22.2K	$0

Crf First Choice, Inc. — Billing Profile & Reimbursement Data

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Crf First Choice, 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