Agency
Carestar, INC.
Carestar, INC. was paid $42.70M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is T1016, Case management, each 15 minutes — 82% of everything it billed.
33Billing provider infoCARESTAR, INC.
CINCINNATI, OH 45242
CINCINNATI, OH 45242
33aNPI1447652227assigned 09/23/2014
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$42.70M
24GClaims1,006,758
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Ohio
Rank by total paid#9 of 417
Median peer was paid$469K
This provider vs. median91×
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 | |
|---|---|---|---|
| 2018 | 34,351 | $1.68M | |
| 2019 | 89,849 | $3.29M | |
| 2020 | 137,125 | $6.18M | |
| 2021 | 156,067 | $6.97M | |
| 2022 | 175,897 | $7.26M | |
| 2023 | 228,920 | $7.10M | |
| 2024incomplete | 184,549 | $10.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 82% | 982,773 | 529,665 | $34.98M |
| T2022 | Case management, per month | 9.0% | 7,965 | 7,457 | $3.82M |
| T2023 | Targeted case management; per month | 6.4% | 2,334 | 2,042 | $2.72M |
| T2038 | Community transition, waiver; per service | 2.3% | 948 | 829 | $980K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 1,235 | 1,173 | $192K |
| G9006 | Coordinated care fee, home monitoring | 0% | 3,773 | 3,498 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 610 | 546 | $0.00 |
| G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | 0% | 120 | 120 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 13 | 13 | $0.00 |
| G9002 | Coordinated care fee, maintenance rate | 0% | 6,987 | 3,295 | $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 officialZIPPERER-DAVIS, PAMELA (PRESIDENT)