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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCenterlight Healthcare, Inc.
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    Centerlight Healthcare, Inc. — Billing Profile & Reimbursement Data

    NPI 1932227790 · Flushing, NY · PACE Provider Organization

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    Centerlight Healthcare, Inc. is a pace provider organization provider located in Flushing, New York. This profile covers 0 Medicare and 40 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCenterlight Healthcare, Inc.
    Address13665 37th Ave
    CityFlushing
    StateNY
    ZIP11354
    TaxonomyPACE Provider Organization
    NPI EnumeratedMarch 27, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$67.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1001Nursing assessment / evaluation241,660$150$35M
    S9131Physical therapy; in the home, per diem89,010$90$8.3M
    S9129Occupational therapy, in the home, per diem59,440$100$5.7M
    T1028Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs53,530$100$5.2M
    S5102Day care services, adult; per diem48,250$100$5M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…19,180$150$2.8M
    S9470Nutritional counseling, dietitian visit25,110$100$2.6M
    S9127Social work visit, in the home, per diem7,010$80$546.5K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…2,510$210$536.5K
    99213The 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…5,410$80$448.9K

    Showing 1–10 of 40

    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.

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

    40 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5102Day care services, adult; per diem6436011,920$90$2.4M
    S9131Physical therapy; in the home, per diem3902,630$100$1.1M
    T1028Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs110350$90$780.9K
    S9129Occupational therapy, in the home, per diem2501,620$110$748.1K
    T1001Nursing assessment / evaluation1120150$130$514.1K
    99213The 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…2,44719,110360$70$321K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…27216,550220$90$186.8K
    99499Use 99499 to report evaluation and management services for which there is no specific code available.51180120$90$179K
    S9127Social work visit, in the home, per diem5401,020$70$168.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,4115,420210$70$154.3K

    Showing 1–10 of 40

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Longevity Health Services LLCNYHome Health Agency$0$428.6M
    Evergreen Homecare Service Of Ny IncNYHome Health Agency$0$112.7M
    Life Improvement Homecare, Inc.NYHome Health Agency$0$108.9M
    Red Sun Home Care Inc.NYHome Health Agency$0$87.7M
    Supreme Homecare Agency Of Ny IncNYHome Health Agency$0$71.5M
    1st Class Care Services, Inc.NYHome Health Agency$0$61.5M
    Supreme Home Care Agency Of Ny IncNYHome Health Agency$0$58.5M
    Help Home Health Care Agency LLCNYHome Health Agency$0$48.9M
    Sunrise Senior Service LLCNYAdult Development & Aging Psychologist$0$45M
    Senior D.c. Management Usa CorpNYAdult Day Care Clinic/Center$0$40.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. New York Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Centerlight Healthcare, Inc. — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York