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.

Stephens Behavior Consulting, LLC (NPI 1245662386)

Field	Value
Entity Type	Organization
Organization	Stephens Behavior Consulting, LLC
Address	320 Main St
City	Shelbyville
State	KY
ZIP	40065
Taxonomy	Behavior Analyst
NPI Enumerated	July 31, 2013

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.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	14,100	$270	$3.7M

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

Stephens Behavior Consulting, LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	28	180	1,320	$220	$1.9M

Nearby Providers

Other providers in the same ZIP code as Stephens Behavior Consulting, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associates In Pediatric Therapy, LLC	KY	Rehabilitation Clinic/Center	$0	$30.7M
Uofl Health-shelbyville Inc	KY	General Acute Care Hospital	$0	$18.5M
Vcmy Ii Corporation	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$6.2M
Shelby County Emergency Medical Services	KY	Land Ambulance	$598.3K	$1.3M
Mhd Chaker	KY	Pulmonary Disease Physician	$262.6K	$1M
Alice Creque	KY	Physical Therapist	$167.8K	$0
Marie Hettinger	KY	Physical Therapist	$150.2K	$0
Kenneth Gravett	KY	Family Medicine Physician	$27.3K	$118K
Ron Creque	KY	Family Medicine Physician	$143.2K	$0
Ashton Hudson	KY	Emergency Medicine Physician	$120.7K	$0

Stephens Behavior Consulting, LLC — Billing Profile & Reimbursement Data

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Stephens Behavior Consulting, LLC — Billing Profile & Reimbursement Data

Sign up for Stephens Behavior Consulting, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References