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.

Paintsville Behavioral Health, Inc (NPI 1083355424)

Field	Value
Entity Type	Organization
Organization	Paintsville Behavioral Health, Inc
Address	236 College St
City	Paintsville
State	KY
ZIP	41240
Taxonomy	Psychiatric/Mental Health Registered Nurse
NPI Enumerated	April 6, 2022

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2020	Therapeutic behavioral services, per diem	39,120	$190	$7.2M
T2023	Targeted case management; per month	690	$290	$196.9K
H0038	Self‑help/peer services, per 15 minutes	6,850	$20	$164.3K
H2019	Therapeutic behavioral services, per 15 minutes	820	$70	$58.1K
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…	630	$30	$17K
H0032	Mental health service plan development by non-physician	140	$70	$8.9K
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…	170	$40	$6.1K

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

Paintsville Behavioral Health, Inc — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	25	50	820	$190	$1.7M
H2020	Therapeutic behavioral services, per diem	5	130	1,730	$180	$1.2M
T2023	Targeted case management; per month	237	530	530	$300	$1.1M
H0038	Self‑help/peer services, per 15 minutes	111	320	3,070	$50	$678.3K
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…	292	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…	291	500	250	$60	$152.8K
H0032	Mental health service plan development by non-physician	200	380	160	$70	$107.8K

Nearby Providers

Other providers in the same ZIP code as Paintsville Behavioral Health, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paintsville Hospital Company, LLC	KY	General Acute Care Hospital	$0	$15.5M
Mountain Comprehensive Care Center, Inc.	KY	Federally Qualified Health Center (FQHC)	$0	$12.8M
Arh Tug Valley Health Services, Inc.	KY	General Acute Care Hospital	$0	$10.4M
New Age Vitality Clinic LLC	KY	Family Medicine Physician	$0	$10M
Bhg Xxiv, LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$174.7K	$7.4M
Kimberly Nordin	KY	Optometrist	$27.3K	$3.2M
City Of Paintsville Office Of Treasurer	KY	Land Ambulance	$324.3K	$1.5M
Rick O'bryan	KY	Physical Therapist	$101.4K	$0
Kevin Bayes	KY	Family Medicine Physician	$77.9K	$0
Robert Miller	KY	Podiatrist	$27.2K	$23.3K

Paintsville Behavioral Health, Inc — Billing Profile & Reimbursement Data

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Paintsville Behavioral Health, 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

Nearby Providers

Frequently Asked Questions

References