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.

Horizon Adult Health Care LLC (NPI 1205975414)

Field	Value
Entity Type	Organization
Organization	Horizon Adult Health Care LLC
Address	97 Foothills Avenue
City	Albany
State	KY
ZIP	42602
Taxonomy	Occupational Therapist
NPI Enumerated	February 5, 2007

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.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5100	Day care services, adult; per 15 minutes	38,440	$70	$2.7M
S5170	Home delivered meals, including preparation; per meal	6,380	$10	$89.3K

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

Horizon Adult Health Care LLC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5100	Day care services, adult; per 15 minutes	26	100	16,270	$70	$1.9M
S5170	Home delivered meals, including preparation; per meal	26	60	5,170	$10	$342.6K

Nearby Providers

Other providers in the same ZIP code as Horizon Adult Health Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$8.8M
Air Evac Ems Inc	KY	Air Ambulance	$745K	$509.5K
Carol Peddicord	KY	Family Medicine Physician	$189.7K	$395K
County Judge County Of Clinton	KY	Land Ambulance	$264.3K	$274.1K
Tracy Cross	KY	Surgery Physician	$53.7K	$0
Central Kentucky Apothecary	KY	Community/Retail Pharmacy	$30.5K	$1.8K

Horizon Adult Health Care LLC — Billing Profile & Reimbursement Data

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Horizon Adult Health Care 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