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

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

Excellacare (NPI 1912123613)

Field	Value
Entity Type	Organization
Organization	Excellacare
Address	20853 Farmington Rd
City	Farmington Hills
State	MI
ZIP	48336
Taxonomy	Home Health Agency
NPI Enumerated	April 18, 2007

Payer Source	Total Paid
Medicaid	$21.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	235,090	$90	$21.6M
T1003	Lpn/lvn services, up to 15 minutes	1,910	$60	$122.5K
T1002	Rn services, up to 15 minutes	140	$40	$6.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Excellacare — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	36	610	14,740	$90	$6M
T1002	Rn services, up to 15 minutes	81	110	1,160	$130	$508.1K
T1003	Lpn/lvn services, up to 15 minutes	16	30	1,300	$50	$131.6K

Nearby Providers

Other providers in the same ZIP code as Excellacare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Botsford General Hospital	MI	General Acute Care Hospital	$0	$72.1M
Independent Community Care Services	MI	Home Health Agency	$0	$67.7M
Midwest Health Care Inc.	MI	Home Health Agency	$0	$27.2M
Rgrps, Inc.	MI	Contractor	$0	$24M
Community Living Centers, Inc	MI	Voluntary or Charitable Agency	$0	$10.8M
Farmington Emergency Medicine Associates PLLC	MI	Emergency Medicine Physician	$0	$10.1M
City Of Farmington Hills	MI	Land Ambulance	$656.5K	$1.3M
Ali Alsaadi	MI	Internal Medicine Physician	$591.4K	$0
Joshua Similuk	MI	Diagnostic Radiology Physician	$428.2K	$0
Fawad Rizvi	MI	Pain Medicine Physician	$270.9K	$0

Excellacare — Billing Profile & Reimbursement Data

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Excellacare — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References