Agency
Centerlight Healthcare, INC.
Centerlight Healthcare, INC. was paid $67.82M by Medicaid between Jun 2018 and Dec 2024, across 40 billing codes. Its largest line is T1001, Nursing assessment / evaluation — 52% of everything it billed.
33Billing provider infoCENTERLIGHT HEALTHCARE, INC.
FLUSHING, NY 11354
FLUSHING, NY 11354
33aNPI1932227790assigned 03/27/2007
33bProvider typePACE Provider Organization
28Total paid$67.82M
24GClaims581,267
24DCodes billed40
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other PACE Provider Organization providers in New York
Rank by total paid#1 of 8
Median peer was paid$215K
This provider vs. median316×
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 | 1,121 | $114K | |
| 2019 | 35,980 | $4.04M | |
| 2020 | 90,145 | $10.54M | |
| 2021 | 87,802 | $10.34M | |
| 2022 | 101,958 | $12.45M | |
| 2023 | 140,079 | $15.97M | |
| 2024incomplete | 124,182 | $14.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1001 | Nursing assessment / evaluation | 52% | 241,656 | 161,552 | $35.16M |
| S9131 | Physical therapy; in the home, per diem | 12% | 89,014 | 42,313 | $8.31M |
| S9129 | Occupational therapy, in the home, per diem | 8.4% | 59,437 | 33,468 | $5.71M |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | 7.8% | 53,529 | 52,069 | $5.26M |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 7.3% | 48,252 | 7,000 | $4.96M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.1% | 19,175 | 18,285 | $2.80M |
| S9470 | Nutritional counseling, dietitian visit | 3.8% | 25,110 | 24,551 | $2.59M |
| S9127 | Social work visit, in the home, per diem | <1% | 7,007 | 6,696 | $547K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 2,507 | 2,501 | $537K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 5,408 | 5,084 | $450K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,510 | 1,496 | $327K |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | <1% | 5,853 | 5,848 | $272K |
28 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 6,982 | $195K |
| 11721 | <1% | 2,058 | $109K | |
| 99442 | <1% | 1,070 | $96K | |
| 99443 | <1% | 698 | $90K | |
| 99349 | <1% | 543 | $84K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,058 | $70K |
| 99441 | <1% | 772 | $43K | |
| 99422 | <1% | 805 | $29K | |
| 99499 | <1% | 558 | $28K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 168 | $23K |
| 99341 | <1% | 318 | $20K | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 549 | $16K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 296 | $15K |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 279 | $14K |
| 94760 | <1% | 3,098 | $11K | |
| 90658 | <1% | 180 | $9K | |
| 93000 | <1% | 419 | $8K | |
| 99350 | Prolong home eval add 15m | <1% | 37 | $8K |
| 82947 | <1% | 1,776 | $7K | |
| 11056 | <1% | 68 | $7K | |
| 99342 | <1% | 31 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $3K |
| 99423 | <1% | 46 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 786 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 95 | $2K |
| 90732 | <1% | 12 | $2K | |
| 99421 | <1% | 81 | $1K | |
| 99347 | <1% | 14 | $891.38 |
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 officialLIBERTI, ERIN (VP, PROVIDER RELATIONS)