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 Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

Pax Riverbend LLC (NPI 1154979615)

Field	Value
Entity Type	Organization
Organization	Pax Riverbend LLC
Address	202 E Maple St
City	Jeffersonville
State	IN
ZIP	47130
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	August 28, 2019

Payer Source	Total Paid
Medicaid	$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.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	32,510	$220	$7.1M
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…	4,770	$140	$649K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,370	$100	$137.9K
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…	830	$90	$73K
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…	830	$50	$41.6K
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…	520	$60	$32.1K
H0001	Alcohol and/or drug assessment	90	$0	$0
H2036	Alcohol and/or other drug treatment program, per diem	440	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Pax Riverbend LLC — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	3	20	5,840	$200	$2.1M
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…	336	580	710	$60	$582.9K
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…	18	70	1,520	$100	$429.2K
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…	383	690	1,070	$80	$422.3K
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…	194	430	630	$40	$243.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	104	520	240	$80	$165K
H0001	Alcohol and/or drug assessment	3	10	150	$60	$9K
H2036	Alcohol and/or other drug treatment program, per diem	1	10	440	$0	$0

Nearby Providers

Other providers in the same ZIP code as Pax Riverbend LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optum Pharmacy 702, LLC	IN	Community/Retail Pharmacy	$0	$55.1M
Lifespring, Inc	IN	Community/Behavioral Health Agency	$0	$53.5M
Maxim Healthcare Services, Inc.	IN	Home Health Agency	$0	$30.1M
Lifespring, Inc	IN	Community/Behavioral Health Agency	$0	$21.6M
Norton Clark Hospital, LLC	IN	General Acute Care Hospital	$0	$19.7M
North Clark Medical Group LLC	IN	General Practice Physician	$0	$16.1M
Pediatric Plus Home Healthcare Services LLC	IN	Home Health Agency	$0	$8.3M
Utica Township Volunteer Fire Fighters Association	IN	Land Ambulance	$1.6M	$4.9M
Eye Associates Of Southern Indiana PC	IN	Ophthalmology Physician	$0	$6.4M
Kids Dentistry-jeffersonville, LLC	IN	Dental Clinic/Center	$0	$6.4M

Pax Riverbend LLC — Billing Profile & Reimbursement Data

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Pax Riverbend 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