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.

Lake Cumberland Recovery Inc (NPI 1033788393)

Field	Value
Entity Type	Organization
Organization	Lake Cumberland Recovery Inc
Address	202 N Main St
City	Somerset
State	KY
ZIP	42501
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	June 22, 2021

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	28,160	$250	$7.2M
H2034	Alcohol and/or drug abuse halfway house services, per diem	11,280	$240	$2.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	4,480	$200	$877.1K
T2023	Targeted case management; per month	350	$300	$103.4K

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

Lake Cumberland Recovery Inc — 0 of 4 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

4 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	21	70	7,180	$270	$6.8M
H2034	Alcohol and/or drug abuse halfway house services, per diem	9	40	3,120	$220	$3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	25	50	4,480	$220	$2.4M
T2023	Targeted case management; per month	305	530	530	$300	$1.1M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lake Cumberland Recovery Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Cumberland Recovery, Inc	KY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.8M
Lake Cumberland Recovery, Inc	KY	Substance Abuse Rehabilitation Facility	$0	$6.5M

Nearby Providers

Other providers in the same ZIP code as Lake Cumberland Recovery Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Cumberland Reg Mhmr Board, Inc.	KY	Community/Behavioral Health Agency	$0	$140.8M
Brighter Futures Therapy Center, LLC	KY	Case Manager/Care Coordinator	$0	$38.3M
Lake Cumberland Regional Mhmr Board Outpatient	KY	Community/Behavioral Health Agency	$0	$31.2M
Broadening Horizons, Inc.	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$22.4M
Serenity Foundations, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.1M
Community Opportunities, Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.1M
Wecare Medical Homemakers, LLC D.b.a. Hope Of Ky	KY	Developmentally Disabled Services Day Training Agency	$0	$13.2M
Mindsight PLLC	KY	Professional Counselor	$0	$13M
Somerset Mental Health, Psc	KY	Community/Behavioral Health Agency	$0	$12.3M
John Newcomb	KY	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$10.5M

Lake Cumberland Recovery Inc — Billing Profile & Reimbursement Data

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Lake Cumberland Recovery Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References