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

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Caris Counseling & Behavioral Health Group (NPI 1003273665)

Field	Value
Entity Type	Organization
Organization	Caris Counseling & Behavioral Health Group
Address	744 Princeton Rd
City	Madisonville
State	KY
ZIP	42431
Taxonomy	Professional Counselor
NPI Enumerated	January 26, 2016

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2020	Therapeutic behavioral services, per diem	30,920	$190	$6M
H0038	Self‑help/peer services, per 15 minutes	10,710	$70	$696.4K
H2027	Psychoeducational service, per 15 minutes	1,550	$250	$385.9K
T2023	Targeted case management; per month	1,300	$290	$378.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,370	$60	$215.7K
H2015	Comprehensive community support services, per 15 minutes	1,810	$50	$95.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,340	$40	$81.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,790	$40	$78.7K
H2019	Therapeutic behavioral services, per 15 minutes	310	$160	$50K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	610	$70	$43K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Caris Counseling & Behavioral Health Group — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	32	50	820	$190	$1.7M
H2020	Therapeutic behavioral services, per diem	7	130	1,730	$180	$1.2M
H2027	Psychoeducational service, per 15 minutes	89	220	970	$170	$1.1M
T2023	Targeted case management; per month	191	530	530	$300	$1.1M
H0038	Self‑help/peer services, per 15 minutes	86	320	3,070	$50	$678.3K
H2015	Comprehensive community support services, per 15 minutes	94	200	1,610	$80	$585.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	290	1,270	760	$80	$447.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	171	600	600	$40	$207.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	103	500	250	$60	$152.8K
H0031	Mental health assessment, by non-physician	59	170	170	$70	$145.9K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Caris Counseling & Behavioral Health Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health Deaconess Madisonville Inc	KY	Rural Acute Care Hospital	$0	$80.8M
Baptist Health Deaconess Medical Group Inc	KY	Internal Medicine Physician	$0	$5.2M
Medical Center Ambulance Service Inc	KY	Land Ambulance	$745.8K	$1.2M
Owensboro Health Medical Group, Inc	KY	Clinical Medical Laboratory	$42.2K	$478.6K
Deepak Kapadia	KY	Cardiovascular Disease Physician	$225.1K	$180.7K
Ashwani Kumar	KY	Hospitalist Physician	$290.5K	$200
Robert Holzknecht	KY	Family Medicine Physician	$217.1K	$0
Henry Smith	KY	Plastic and Reconstructive Surgery Physician	$186.8K	$0
William Smith	KY	Dermatology Physician	$174.6K	$0
Francinia Mccartney	KY	Ophthalmology Physician	$150.8K	$0

Caris Counseling & Behavioral Health Group — Billing Profile & Reimbursement Data

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Caris Counseling & Behavioral Health Group — 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