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.

Abi-alternative Intervention Dba Abi Behavioral Health (NPI 1235551094)

Field	Value
Entity Type	Organization
Organization	Abi-alternative Intervention Dba Abi Behavioral Health
Address	104 Daventry Lane
City	Louisville
State	KY
ZIP	40223
Taxonomy	Professional Counselor
NPI Enumerated	January 14, 2014

Payer Source	Total Paid
Medicaid	$7.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	56,020	$70	$3.9M
99354	N/A	32,270	$60	$1.8M
99355	N/A	12,050	$90	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	7,580	$80	$591K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	3,790	$40	$159.2K

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

Abi-alternative Intervention Dba Abi Behavioral Health — 3 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	44	180	1,320	$220	$1.9M
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	27	140	460	$70	$475.2K
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…	22	1,270	760	$80	$447.2K
99354	N/A	3	170	470	$50	$151K
99355	N/A	1	40	170	$70	$90.8K

Nearby Providers

Other providers in the same ZIP code as Abi-alternative Intervention Dba Abi Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seven Counties Services, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$375.2M
Seven Counties Services, Inc.	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$194.4M
Psf PLLC	KY	Allergy & Immunology Physician	$0	$41.4M
Maryhurst, Inc.	KY	Community/Behavioral Health Agency	$0	$29.7M
Therapeutic Intervention Services	KY	Community/Behavioral Health Agency	$0	$24.9M
Seven Counties Services, Inc.	KY	Clinic/Center	$0	$11.2M
Southern Home Care Services, Inc.	KY	Intellectual Disabilities Intermediate Care Facility	$0	$11.1M
Help At Home, LLC	KY	Home Health Agency	$0	$10.3M
Caretenders Vs Of Louisville, LLC	KY	Home Health Agency	$0	$8.9M
Seven Counties Services, Inc.	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.9M

Abi-alternative Intervention Dba Abi Behavioral Health — Billing Profile & Reimbursement Data

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Abi-alternative Intervention Dba Abi Behavioral Health — 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