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.

Lifeline Home Health Care Of Somerset, LLC (NPI 1114951993)

Field	Value
Entity Type	Organization
Organization	Lifeline Home Health Care Of Somerset, LLC
Address	600 1 2 Clifty Street
City	Somerset
State	KY
ZIP	42503
Taxonomy	Home Health Agency
NPI Enumerated	July 10, 2006

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.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5108	Home care training to home care client, per 15 minutes	43,260	$150	$6.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	13,960	$40	$502.6K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	5,770	$50	$288.7K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	7,000	$30	$231.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1,660	$20	$31.6K
T4541	Incontinence product, disposable underpad, large, each	80	$30	$2.3K
G0493	Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to…	500	$1	$500
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	20	$20	$290
A6216	Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	10	$1	$10
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	3,690	$0	$0

Showing 1–10 of 13

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

Lifeline Home Health Care Of Somerset, LLC — 1 of 9 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5108	Home care training to home care client, per 15 minutes	52	100	43,820	$140	$16.6M
T4541	Incontinence product, disposable underpad, large, each	35	40	1,670	$210	$1.4M
Q5001	Hospice or home health care provided in patient's home/residence	10	70	310	$180	$542K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	15	100	3,770	$40	$302.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	9	60	790	$70	$172.6K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	6	30	740	$60	$73.5K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1	50	720	$40	$53K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	3	20	590	$30	$35.1K
G0493	Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to…	3	10	200	$20	$8.1K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	23	20	2,450	$1	$6K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Lifeline Home Health Care Of Somerset, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Morrland Healthcare LLC	KY	Community/Behavioral Health Agency	$0	$54.8M
Applied Behavioral Advancements, LLC	KY	Community/Behavioral Health Agency	$0	$29.2M
Protea Behavioral Health Counseling, PLLC	KY	Professional Counselor	$0	$24.4M
Lake Cumberland Regional Hospital, LLC	KY	Internal Medicine Physician	$0	$15.6M
Cumberland Behavior Group, LLC	KY	Community/Behavioral Health Agency	$0	$15.2M
Quest Counseling	KY	Mental Health Counselor	$0	$12.5M
Lake Cumberland Recovery, Inc	KY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.8M
Achievements Through Actions	KY	Developmentally Disabled Services Day Training Agency	$0	$10M
Lake Cumberland Surgery Center LP	KY	Ambulatory Surgical Clinic/Center	$1M	$8.7M
Adult Day Health, Inc.	KY	Adult Day Care Clinic/Center	$0	$8.9M

Lifeline Home Health Care Of Somerset, LLC — Billing Profile & Reimbursement Data

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Lifeline Home Health Care Of Somerset, 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