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.

Foothills Academy, Inc. (NPI 1114291879)

Field	Value
Entity Type	Organization
Organization	Foothills Academy, Inc.
Address	80 Rolling Hills Blvd
City	Monticello
State	KY
ZIP	42633
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	February 28, 2012

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	4,630	$320	$1.5M
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…	10,670	$70	$725.8K
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…	6,690	$40	$234K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	1,220	$50	$60.9K
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…	390	$120	$47.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	560	$70	$37.2K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	800	$40	$35.3K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	480	$60	$30.4K
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…	550	$50	$26.6K
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…	580	$40	$25.5K

Showing 1–10 of 21

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

Foothills Academy, Inc. — 0 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2027	Psychoeducational service, per 15 minutes	218	220	970	$170	$1.1M
T2023	Targeted case management; per month	86	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…	173	230	1,750	$110	$793.5K
H2015	Comprehensive community support services, per 15 minutes	131	200	1,610	$80	$585.6K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	63	140	460	$70	$475.2K
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…	125	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…	1,986	3,340	1,020	$30	$296K
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…	89	600	600	$40	$207.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	53	90	250	$90	$199.4K
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…	183	500	250	$60	$152.8K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Foothills Academy, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wayne County Hospital, Inc	KY	Critical Access Hospital	$0	$17.7M
Angela Tucker	KY	Mental Health Counselor	$0	$4.6M
Rise Mental Health And Wellness	KY	Mental Health Counselor	$0	$3.3M
Eric Johnson	KY	Diagnostic Radiology Physician	$78.6K	$3.1M
Lake Cumberland Pediatrics PLLC	KY	Rural Health Clinic/Center	$0	$3.1M
Horizon Adult Health Care LLC	KY	Occupational Therapist	$0	$3.1M
Faith Healthcare Inc	KY	Federally Qualified Health Center (FQHC)	$0	$3M
Phillips Pratt & Mcfarland Psc	KY	Family Medicine Physician	$0	$3M
Passages Of Kentucky, LLC	KY	Mental Health Counselor	$0	$2.9M
Wayne County Fiscal Court	KY	Land Ambulance	$387.3K	$958.7K

Foothills Academy, Inc. — Billing Profile & Reimbursement Data

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Foothills Academy, 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