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.

Simple Solutions LLC (NPI 1174218465)

Field	Value
Entity Type	Organization
Organization	Simple Solutions LLC
Address	249 Stone Ave
City	Lexington
State	KY
ZIP	40508
Taxonomy	Clinical Social Worker
NPI Enumerated	April 11, 2023

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2027	Psychoeducational service, per 15 minutes	7,200	$360	$2.6M
H2015	Comprehensive community support services, per 15 minutes	11,530	$40	$495.7K
H0038	Self‑help/peer services, per 15 minutes	15,030	$20	$285.5K
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…	2,430	$100	$250.5K
T2023	Targeted case management; per month	150	$250	$37.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	350	$70	$24.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	300	$60	$18.2K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	230	$60	$12.8K
H0001	Alcohol and/or drug assessment	240	$50	$12.7K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	50	$50	$2.4K

Showing 1–10 of 12

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

Simple Solutions LLC — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2027	Psychoeducational service, per 15 minutes	35	220	970	$170	$1.1M
T2023	Targeted case management; per month	382	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…	92	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	70	320	3,070	$50	$678.3K
H2015	Comprehensive community support services, per 15 minutes	28	200	1,610	$80	$585.6K
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…	1,196	1,270	760	$80	$447.2K
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…	555	600	600	$40	$207.8K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	124	220	340	$60	$114.8K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	68	170	180	$70	$100.6K
H0001	Alcohol and/or drug assessment	81	200	160	$60	$68.1K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Walker House Inc	KY	Community/Behavioral Health Agency	$0	$6.4M
Bluegrass Bracing Inc	KY	Durable Medical Equipment & Medical Supplies	$0	$4.8M
Carlos Serna	KY	Case Manager/Care Coordinator	$0	$4.3M
Hope Center Services, LLC	KY	Professional Counselor	$0	$3.1M
Peter Blackburn	KY	Retina Specialist (Ophthalmology) Physician	$1M	$251.2K
Claire Fraser	KY	Retina Specialist (Ophthalmology) Physician	$540.9K	$172K
Stuart Cowley	KY	Pain Medicine (Anesthesiology) Physician	$501.4K	$138.1K
John Franklin	KY	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$8.8K	$282K
Paul Pearson	KY	Retina Specialist (Ophthalmology) Physician	$198.8K	$57.2K
Eric Higgins	KY	Retina Specialist (Ophthalmology) Physician	$236.9K	$1.2K

Simple Solutions LLC — Billing Profile & Reimbursement Data

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Simple Solutions 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