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.

Forever Care Dba Independent Opportunities (NPI 1033275755)

Field	Value
Entity Type	Organization
Organization	Forever Care Dba Independent Opportunities
Address	400 S Main St
City	London
State	KY
ZIP	40741
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 28, 2006

Payer Source	Total Paid
Medicaid	$79M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: there is no Medicare billing on file and total Medicaid revenue is $79M, with the NPI originally enumerated 2006-12-28 (~20 years ago), indicating a long-tenured presence in the state Medicaid market.

Revenue is extremely concentrated in a narrow set of habilitation services: the top three Medicaid codes (T2016, T2021, T2019) together account for 99.6% of the provider's Medicaid revenue, signaling a business model focused almost exclusively on waiver habilitation services.

T2016 (Habilitation, residential, waiver; per diem) dominates the revenue mix with 306.6K claims, $227 avg paid/claim, and $69.6M revenue (88.1% of this provider's total Medicaid revenue), which reflects a per-diem, residential habilitation operation as the core service line.

T2021 (Day habilitation, waiver; per 15 minutes) is the second major revenue driver with 119.2K claims, $70 avg paid/claim, and $8.3M revenue (10.6% of total Medicaid revenue), indicating substantial investment in day habilitation programming in addition to residential services.

T2019 (Habilitation, supported employment, waiver; per 15 minutes) is a much smaller but notable line at 7.5K claims, $100 avg paid/claim, and $747.1K revenue (0.9% of total Medicaid revenue); the presence of supported employment billing adds a workforce-support component to the habilitation mix.

Competitive standing within Kentucky is strong for the provider’s core codes: T2016 ranks #2 of 146 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code), T2021 ranks #3 of 150 providers in-state (99th percentile; notably above typical state volume for this code), and T2019 ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume for this code), marking the provider as a leading in-state operator for waiver habilitation services.

Ancillary codes are negligible in scale compared with habilitation revenue: H0004 (behavioral health counseling and therapy) generates $285.3K (0.4% of Medicaid revenue) and ranks #59 of 175 in-state (67th percentile; typical, unremarkable volume), while E1399 (durable medical equipment, miscellaneous) generates $6.9K (0.0% of Medicaid revenue) and has limited presence among in-state peers, indicating behavioral health counseling and DME are not primary revenue streams for this entity.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	306,610	$230	$69.6M
T2021	Day habilitation, waiver; per 15 minutes	119,170	$70	$8.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	7,470	$100	$747.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,750	$80	$285.3K
E1399	Durable medical equipment, miscellaneous	30	$250	$6.9K

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

Forever Care Dba Independent Opportunities — 3 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	150	42,680	$190	$11.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	59	180	1,320	$220	$1.9M
T2021	Day habilitation, waiver; per 15 minutes	3	150	16,130	$70	$1.7M
E1399	Durable medical equipment, miscellaneous	17	30	170	$600	$996.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	1	10	2,500	$70	$217.2K

Nearby Providers

Other providers in the same ZIP code as Forever Care Dba Independent Opportunities, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Joseph Health System, Inc	KY	Rural Acute Care Hospital	$0	$83.7M
Brock Medical, LLC	KY	Nurse Practitioner	$0	$63.5M
Recover Together, Inc.	KY	Adult Mental Health Clinic/Center	$0	$36.6M
Pinnacle Treatment Centers Ky-i, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$33.5M
London Women's Care, LLC	KY	Obstetrics & Gynecology Physician	$0	$16M
Inspired Living	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12M
Rrj Solutions, LLC	KY	Community/Behavioral Health Agency	$0	$8.6M
Cherished Care LLC	KY	Internal Medicine Physician	$0	$7M
Fuse Medical	KY	Nurse Practitioner	$0	$7M
New Hope Counseling And Recovery	KY	Mental Health Counselor	$0	$6.9M

Forever Care Dba Independent Opportunities — Billing Profile & Reimbursement Data

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Forever Care Dba Independent Opportunities — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References