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.

Crystal Lake Supportive Environments (NPI 1932535184)

Field	Value
Entity Type	Organization
Organization	Crystal Lake Supportive Environments
Address	2710 Staten Ave
City	Orlando
State	FL
ZIP	32804
Taxonomy	Behavior Analyst
NPI Enumerated	September 19, 2013

Payer Source	Total Paid
Medicaid	$73.5M
Medicare	$0

Key Findings

CRYSTAL LAKE SUPPORTIVE ENVIRONMENTS is effectively a Medicaid-focused provider with no Medicare billing on file; lifetime Medicare revenue is listed as none while lifetime Medicaid revenue totals $73.5M, indicating the organization operates almost exclusively within state Medicaid programs rather than the Medicare market. The provider’s NPI was enumerated on 2013-09-19 (~13 years ago), so this operational profile reflects over a decade of billing activity under the current NPI.

Revenue concentration is highly focused: the top three Medicaid codes (T2016, T2023, S5102) account for 96.1% of the provider’s total Medicaid revenue. In particular, T2016 alone represents $39.8M (54.2% of Medicaid revenue) and T2023 contributes $22.2M (30.2%), so residential habilitation and targeted case management dominate the revenue stream and should be primary lenses for any risk or utilization review.

Business/service-line implications from the dominant codes point to a behavioral health habilitation and long-term support model: T2016 is Habilitation, residential, waiver (per diem), signaling substantial residential care capacity and per-diem placement activity, while T2023 (Targeted case management; per month) indicates intensive care coordination or case management responsibilities. The presence of S5102 (Day care services, adult; per diem) as the third major code suggests complementary daytime support services tied to the residential habilitation model.

Competitive standing in-state is mixed: for T2016 this provider ranks #2 of 7 in Florida (83th percentile), indicating it is one of the larger residential habilitation billers among a small peer set and occupies a meaningful statewide position for that service. For T2023 the provider ranks #7 of 43 (86th percentile), which places it among the higher-volume case management billers statewide despite fewer providers generating comparable revenue; S5102 ranking (#120 of 331, 64th percentile) suggests moderate, typical volume for day care services relative to a broader field.

Code-level utilization patterns show scale in both per-diem and per-month billing models: the two dominant codes are per-diem residential habilitation (T2016) and monthly targeted case management (T2023), implying the provider’s revenue relies on ongoing placements and recurring monthly coordination fees rather than episodic or one-off encounters. Lesser-contributing codes like T2003, H2019, and T2021 together make up small shares (each under ~2.2% by the listed revenues), consistent with a focused service mix rather than a diversified procedural portfolio.

Statistical standing relative to peers is largely described as typical for high-volume items: the percentile annotations label volumes as typical or unremarkable for most top codes, so while the provider is a meaningful payer within specific service lines (notably residential habilitation and case management), its utilization does not appear as an extreme outlier in the statewide Medicaid universe. Analysts should therefore treat its scale as significant but not anomalous in pattern.

Given the dominance of Medicaid in the provider’s lifetime revenue and the absence of Medicare activity, payer mix is essentially single-payer (Medicaid). Any financial, compliance, or network analyses should be oriented toward state Medicaid rules, waiver program requirements, and per-diem/per-month reimbursement dynamics rather than Medicare policies.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	146,490	$270	$39.8M
T2023	Targeted case management; per month	3,910	$5,670	$22.2M
S5102	Day care services, adult; per diem	6,600	$1,310	$8.7M
T2003	Non-emergency transportation; encounter/trip	5,580	$280	$1.5M
H2019	Therapeutic behavioral services, per 15 minutes	25,700	$50	$1.2M
T2021	Day habilitation, waiver; per 15 minutes	140	$1,010	$142.8K

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

Crystal Lake Supportive Environments — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	10	49,730	$260	$18.3M
T2023	Targeted case management; per month	7	40	660	$3,920	$7.7M
S5102	Day care services, adult; per diem	120	330	4,610	$110	$958K
H2019	Therapeutic behavioral services, per 15 minutes	135	1,880	1,010	$70	$544.5K
T2003	Non-emergency transportation; encounter/trip	31	60	4,470	$30	$534.3K
T2021	Day habilitation, waiver; per 15 minutes	13	20	1,000	$70	$155.4K

Nearby Providers

Other providers in the same ZIP code as Crystal Lake Supportive Environments, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peds To Go Inc	FL	Infusion Therapy Registered Nurse	$0	$106.5M
Children's Home Medical Equipment Inc	FL	Durable Medical Equipment & Medical Supplies	$0	$52.3M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.9M
Family First Homecare, LLC	FL	Nursing Care Agency	$0	$9.1M
Orlando Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$0
Samuel Martin	FL	Surgery Physician	$825K	$0
Total Sleep Management Inc	FL	Sleep Disorder Diagnostic Clinic/Center	$373.4K	$325.1K
Hugo Hart	FL	Surgery Physician	$541.3K	$0
Michael Shumski	FL	Ophthalmology Physician	$497.7K	$0
Rishi Sharma	FL	General Practice Physician	$450.5K	$0

Crystal Lake Supportive Environments — Billing Profile & Reimbursement Data

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Crystal Lake Supportive Environments — 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