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.

Behavior Support Services, LLC (NPI 1104959766)

Field	Value
Entity Type	Organization
Organization	Behavior Support Services, LLC
Address	1103 Northwood Dr
City	Murray
State	KY
ZIP	42071
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	March 13, 2007

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

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	37,190	$220	$8.1M
T2021	Day habilitation, waiver; per 15 minutes	12,000	$70	$791.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	1,590	$130	$203.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	310	$130	$38.7K
T2022	Case management, per month	70	$300	$19.8K

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

Behavior Support Services, LLC — 0 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	87	150	42,680	$190	$11.3M
T2022	Case management, per month	79	80	7,120	$290	$4.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	125	310	830	$120	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	122	180	1,320	$220	$1.9M
T2021	Day habilitation, waiver; per 15 minutes	91	150	16,130	$70	$1.7M

Nearby Providers

Other providers in the same ZIP code as Behavior Support Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Murray-calloway County Public Hospital Corporation	KY	General Acute Care Hospital	$0	$29.5M
Community Living In Kentucky, LLC	KY	Community/Behavioral Health Agency	$0	$21.3M
Vmd Primary Providers Central Kentucky	KY	Internal Medicine Physician	$0	$4.4M
Watch, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$3.8M
Primary Care Medical Center Inc	KY	Family Medicine Physician	$0	$3.7M
Murray-calloway County Public Hospital Corporation	KY	Multi-Specialty Clinic/Center	$0	$3.3M
Pamela Smith	KY	Hematology & Oncology Physician	$1.8M	$0
Murray Calloway County Emergency	KY	Land Ambulance	$538.6K	$581.8K
Jesse Williams	KY	Optometrist	$44.4K	$352.5K
James Jaco	KY	Optometrist	$69K	$304.6K

Behavior Support Services, LLC — Billing Profile & Reimbursement Data

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Behavior Support Services, LLC — Billing Profile & Reimbursement Data

Sign up for Behavior Support Services, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References