Agency
Carecentrix, INC.
Carecentrix, INC. was paid $13.69M by Medicaid between Jan 2019 and Dec 2024, across 33 billing codes. Its largest line is J2357, Injection, omalizumab, 5 mg — 22% of everything it billed.
33Billing provider infoCARECENTRIX, INC.
TAMPA, FL 33634
TAMPA, FL 33634
33aNPI1417097593assigned 02/07/2007
33bProvider typeCase Management Agency
28Total paid$13.69M
24GClaims133,485
24DCodes billed33
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Florida
Rank by total paid#17 of 357
Median peer was paid$839K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 15,675 | $1.29M | |
| 2020 | 13,338 | $989K | |
| 2021 | 13,318 | $927K | |
| 2022 | 16,186 | $2.51M | |
| 2023 | 35,577 | $4.53M | |
| 2024incomplete | 39,391 | $3.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 22% | 1,341 | 857 | $3.03M |
| E0601 | Continuous positive airway pressure (cpap) device | 12% | 17,647 | 17,637 | $1.62M |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 11% | 4,760 | 4,759 | $1.54M |
| A7030 | Full face mask used with positive airway pressure device, each | 9.6% | 10,310 | 10,302 | $1.32M |
| J2315 | Injection, naltrexone, depot form, 1 mg | 6.3% | 789 | 518 | $860K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 5.9% | 4,120 | 4,117 | $809K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 5.7% | 16,571 | 16,559 | $783K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 5.2% | 8,935 | 8,928 | $705K |
| A7031 | Face mask interface, replacement for full face mask, each | 3.5% | 7,743 | 7,735 | $484K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 3.0% | 1,523 | 544 | $409K |
| A7035 | Headgear used with positive airway pressure device | 2.3% | 12,499 | 12,483 | $320K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 2.3% | 4,571 | 4,557 | $316K |
21 more codes
| J1950 | Injection, leuprolide acetate (for depot suspension), per 3.75 mg | 1.8% | 82 | $241K |
| S9500 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 1.8% | 194 | $240K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.3% | 20,892 | $172K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 1.2% | 800 | $163K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | 1.0% | 2,859 | $143K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 9,620 | $136K |
| S9542 | Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 757 | $106K |
| A7037 | Tubing used with positive airway pressure device | <1% | 2,453 | $64K |
| 99602 | Nursing care in home rn | <1% | 394 | $57K |
| S9363 | Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 61 | $42K |
| S9502 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 26 | $39K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 34 | $36K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 3,063 | $30K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 12 | $16K |
| 99601 | <1% | 535 | $10K | |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 523 | $7K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 0% | 119 | $0.00 |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 0% | 42 | $0.00 |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | 0% | 39 | $0.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 61 | $0.00 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 0% | 110 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMEYERS, STEPHANIE (DIRECTOR AUDIT AND ACCREDITATION)