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

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

Applewood Lane Corporation (NPI 1164567269)

Field	Value
Entity Type	Organization
Organization	Applewood Lane Corporation
Address	18811 Highway 32
City	Lebanon
State	MO
ZIP	65536
Taxonomy	Mental Health Counselor
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicaid	$16M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	41,770	$380	$15.7M
T2001	Non-emergency transportation; patient attendant/escort	1,230	$130	$161.7K
T1002	Rn services, up to 15 minutes	1,920	$60	$120.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Applewood Lane Corporation — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	91	190	38,330	$450	$27M
T2001	Non-emergency transportation; patient attendant/escort	78	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	90	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Applewood Lane Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Lebanon	MO	General Acute Care Hospital	$0	$32.6M
Aaron Dent	MO	Ophthalmology Physician	$688.8K	$0
Tyler Grout	MO	Foot & Ankle Surgery Podiatrist	$71.7K	$0
Jose Padilla	MO	Surgery Physician	$34.6K	$0
George Runyon	MO	Diagnostic Radiology Physician	$12.7K	$7.8K
Theresa Ivey	MO	Clinical Social Worker	$5.3K	$0

Applewood Lane Corporation — Billing Profile & Reimbursement Data

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Applewood Lane Corporation — 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