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.

Journeypure Bowling Green LLC (NPI 1093186538)

Field	Value
Entity Type	Organization
Organization	Journeypure Bowling Green LLC
Address	2349 Russellville Rd
City	Bowling Green
State	KY
ZIP	42101
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	October 9, 2015

Payer Source	Total Paid
Medicaid	$16.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	38,140	$160	$5.9M
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…	50,940	$90	$4.7M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	18,590	$200	$3.7M
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…	15,850	$40	$649.7K
T2023	Targeted case management; per month	1,160	$210	$240.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	18,480	$10	$221.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,010	$80	$150.8K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	2,400	$60	$131.7K
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…	1,720	$60	$97.8K
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…	2,200	$40	$76.9K

Showing 1–10 of 29

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

Journeypure Bowling Green LLC — 1 of 23 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

29 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	26	70	7,180	$270	$6.8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	42	50	4,480	$220	$2.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	7	60	3,270	$170	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	45	50	820	$190	$1.7M
T2023	Targeted case management; per month	199	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…	5	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	319	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…	446	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…	402	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…	937	2,460	580	$40	$245K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Journeypure Bowling Green LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bowling Green-warren County Community Hospital Corporation	KY	General Acute Care Hospital	$0	$112.1M
Graves Gilbert Clinic PLLC	KY	Specialist	$0	$78M
District 4 Cdo Program	KY	Supports Brokerage Agency	$0	$54.7M
Encore Of Bowlng Green Adhc LLC	KY	Adult Day Care Clinic/Center	$0	$23.9M
Ky Steps LLC	KY	Community/Behavioral Health Agency	$0	$13.7M
Tj & L Consulting, LLC	KY	Community/Behavioral Health Agency	$0	$11.3M
Julie Gaskill	KY	Oral and Maxillofacial Surgery (Dentist)	$0	$8.9M
Medical Center Ems, L.L.C.	KY	Ambulance	$1.8M	$6.5M
United Seating And Mobility LLC	KY	Customized Equipment (DME)	$0	$7.3M
Commonwealth Health Corporation	KY	Adult Day Care Clinic/Center	$0	$6.8M

Journeypure Bowling Green LLC — Billing Profile & Reimbursement Data

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Journeypure Bowling Green LLC — 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