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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

A Step Above Case Management (NPI 1992821680)

Field	Value
Entity Type	Organization
Organization	A Step Above Case Management
Address	120 Madeira Dr Ne
City	Albuquerque
State	NM
ZIP	87108
Taxonomy	Case Management Agency
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	25,650	$310	$7.9M
T2024	Service assessment/plan of care development, waiver	2,000	$240	$483.3K
T2025	Waiver services; not otherwise specified (nos)	320	$180	$58.8K
S5190	Wellness assessment, performed by non-physician	170	$120	$21.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

A Step Above Case Management — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	3	20	11,920	$320	$5.1M
T2025	Waiver services; not otherwise specified (nos)	30	40	1,010	$360	$1.6M
T2024	Service assessment/plan of care development, waiver	1	10	480	$270	$176.9K
S5190	Wellness assessment, performed by non-physician	6	10	500	$150	$62.6K

Nearby Providers

Other providers in the same ZIP code as A Step Above Case Management, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Better Way Of Living, Inc.	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$32.4M
Safeway Medical Transportation	NM	Non-emergency Medical Transport (VAN)	$0	$27.3M
Albuquerque Treatment Services LLC	NM	Methadone Clinic	$105.4K	$18.1M
First Nations Community Health Source, Inc.	NM	Clinic/Center	$0	$15.4M
Perfectly Imperfect	NM	Mental Health Counselor	$0	$13.7M
Ds Personal Care Inc	NM	Home Health Agency	$0	$12.9M
Therapeutic Living Services, Inc.	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
State Of The Heart Recovery	NM	Community/Behavioral Health Agency	$0	$7.5M
Blingual Multicultural Services Inc	NM	Early Intervention Provider Agency	$0	$6.1M
Kidsfirst Dental Care LLC	NM	General Practice Dentistry	$0	$5.5M

A Step Above Case Management — Billing Profile & Reimbursement Data

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A Step Above Case Management — 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