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.

Apex Behavioral Services L.L.P. (NPI 1225458284)

Field	Value
Entity Type	Organization
Organization	Apex Behavioral Services L.L.P.
Address	907 S Kenmore Dr
City	Evansville
State	IN
ZIP	47714
Taxonomy	Behavior Analyst
NPI Enumerated	April 17, 2014

Payer Source	Total Paid
Medicaid	$41.5M
Medicare	$0

Key Findings

APEX BEHAVIORAL SERVICES L.L.P. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $41.5M in lifetime Medicaid revenue, indicating its scale and exposure are concentrated in state Medicaid programs rather than Medicare. This concentration means any analysis of financial performance or policy exposure should focus on Medicaid reimbursement and waiver rules.

The provider’s revenue is highly concentrated in a small set of Medicaid service lines: the precomputed top three codes account for 90.3% of total Medicaid revenue. Those top contributors are T2016 ($25.3M, 60.9% of Medicaid revenue), H0004 ($6.3M, 15.3%), and T2033 ($5.8M, 14.1%), which together define most of the business activity and financial footprint.

Service-line mix and operational model: the dominant codes—T2016 (habilitation, residential, waiver; per diem) and T2033 (residential care, nos, waiver; per diem)—plus H0004 (behavioral health counseling and therapy, per 15 minutes) indicate the organization primarily operates residential habilitation and Medicaid-waiver supported behavioral health counseling. High claim volumes (15.9K claims for T2016, 15.2K for H0004, 13.3K for T2033) are consistent with an operator billing per‑diem residential services and frequent, time‑based therapy sessions.

Competitive standing within the state varies by code: for T2016 the provider ranks #10 of 65 in-state (86th percentile) and is described as typical, unremarkable volume for this code, signaling a solid but not dominant statewide position in residential habilitation. For T2033 the provider ranks #6 of 52 (90th percentile) and is likewise labeled typical, unremarkable, which suggests a relatively stronger position in residential care within the state. For H0004 behavioral health counseling the provider ranks #17 of 72 (77th percentile) and again shows typical, unremarkable volume, indicating a mid‑range presence among in‑state therapy providers.

Secondary revenue streams are present but materially smaller: S5151 (unskilled respite care; per diem) generated $1.9M (4.7% of Medicaid revenue) and ranks #6 of 41 (88th percentile), while transportation and day habilitation codes such as T2002 ($940.7K, 2.3% of revenue; rank #16 of 65, 77th percentile) and T2020 ($524.9K, 1.3% of revenue; rank #40 of 61, 35th percentile) contribute modestly. These ancillary services support the core residential/habilitation model but do not materially diversify revenue away from the top three codes.

Tenure and operational maturity: the provider’s NPI was enumerated on 2014-04-17 (~12 years ago), indicating over a decade of participation in Medicaid billing, which supports inferences about established operational processes and payer relationships. This tenure, combined with large claim counts for per‑diem and time‑based services, implies sustained programmatic engagement with state waiver and behavioral health payment streams.

Risk and strategic implications: because virtually all reported revenue is Medicaid ($41.5M) and the top three codes alone drive 90.3% of that revenue, the provider’s financial performance is highly sensitive to Medicaid reimbursement levels and waiver policy changes affecting T2016, H0004, and T2033. The absence of Medicare billing eliminates that diversification channel, so analysts should prioritize monitoring state waiver rules, per‑diem rates, and utilization trends for these specific codes when assessing payer risk and revenue sustainability.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	15,860	$1,590	$25.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	15,190	$420	$6.3M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	13,280	$440	$5.8M
S5151	Unskilled respite care, not hospice; per diem	4,380	$450	$1.9M
T2002	Non-emergency transportation; per diem	5,290	$180	$940.7K
T2020	Day habilitation, waiver; per diem	2,420	$220	$524.9K
T2022	Case management, per month	3,000	$100	$285.2K
T2025	Waiver services; not otherwise specified (nos)	1,010	$210	$211.9K
H2032	Activity therapy, per 15 minutes	660	$190	$126.8K

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

Apex Behavioral Services L.L.P. — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	70	3,190	$630	$14.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	6	50	1,090	$180	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	17	70	3,960	$130	$1.9M
T2020	Day habilitation, waiver; per diem	40	60	5,550	$110	$1.4M
S5151	Unskilled respite care, not hospice; per diem	6	40	970	$220	$1.3M
T2022	Case management, per month	20	100	710	$180	$1.1M
H2032	Activity therapy, per 15 minutes	18	30	1,780	$70	$942.2K
T2002	Non-emergency transportation; per diem	16	70	2,190	$50	$319.8K
T2025	Waiver services; not otherwise specified (nos)	10	20	850	$140	$173.4K

Nearby Providers

Other providers in the same ZIP code as Apex Behavioral Services L.L.P., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pain Management Centers Of America, Psc	IN	Interventional Pain Medicine Physician	$145.6K	$11.2M
Virtual Consult Md LLC	IN	Psychiatry Physician	$0	$8.2M
Rehabilitation Center Developmental Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Counseling For Change, Inc.	IN	Community/Behavioral Health Agency	$0	$3.2M
Easter Seals Rehabilitation Center, Inc.	IN	Rehabilitation Clinic/Center	$0	$2.7M
Randall Oliver	IN	Interventional Pain Medicine Physician	$1.5M	$0
Advanced Ambulatory Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$619.8K	$123.2K
Vijay Bhasin	IN	Nephrology Physician	$539.9K	$0
Anatomic Laboratory Of The Tri-state, LLC	IN	Clinical Medical Laboratory	$206.3K	$203.9K
Umang Patel	IN	Clinical Cardiac Electrophysiology Physician	$356.2K	$0

Apex Behavioral Services L.L.P. — Billing Profile & Reimbursement Data

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Apex Behavioral Services L.L.P. — Billing Profile & Reimbursement Data

Sign up for Apex Behavioral Services L.L.P. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References