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.

A Center 4 Change (NPI 1033572540)

Field	Value
Entity Type	Organization
Organization	A Center 4 Change
Address	5900 Us 60 W
City	Ashland
State	KY
ZIP	41101
Taxonomy	Counseling Psychologist
NPI Enumerated	April 1, 2016

Payer Source	Total Paid
Medicaid	$22M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	34,100	$430	$14.5M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	14,720	$140	$2.1M
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…	31,890	$50	$1.6M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6,890	$100	$709.8K
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	6,510	$110	$702.5K
H0038	Self‑help/peer services, per 15 minutes	17,430	$40	$609.9K
H2034	Alcohol and/or drug abuse halfway house services, per diem	2,570	$160	$420.7K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2,700	$150	$402.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	6,640	$30	$172.7K
H0031	Mental health assessment, by non-physician	2,930	$50	$158K

Showing 1–10 of 26

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

A Center 4 Change — 2 of 25 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	41	70	7,180	$270	$6.8M
H2034	Alcohol and/or drug abuse halfway house services, per diem	22	40	3,120	$220	$3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	29	50	4,480	$220	$2.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	12	60	3,270	$170	$2.2M
T2023	Targeted case management; per month	13	530	530	$300	$1.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	51	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	58	320	3,070	$50	$678.3K
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…	40	1,270	760	$80	$447.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	728	3,340	1,020	$30	$296K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,030	2,460	580	$40	$245K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as A Center 4 Change, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashland Hospital Corporation	KY	General Acute Care Hospital	$0	$222.9M
Pathways, Inc.	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$95.4M
Pathways Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$82.2M
A Brighter Future	KY	Community/Behavioral Health Agency	$0	$39.8M
Fivco Add Cdo As Fiscal Agent	KY	Supports Brokerage Agency	$0	$21M
Our Lady Of Bellefonte Hospital Inc	KY	General Acute Care Hospital	$0	$12.1M
Advocate Medical Services, LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$10.6M
Ultimate Care Behavioral Health Services	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.6M
Wecare Medical, LLC	KY	Oxygen Equipment & Supplies (DME)	$0	$9.9M
Nancy Mussetter	KY	Dentist	$0	$8M

A Center 4 Change — Billing Profile & Reimbursement Data

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A Center 4 Change — 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