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.

Fivco Add Cdo As Fiscal Agent (NPI 1275745176)

Field	Value
Entity Type	Organization
Organization	Fivco Add Cdo As Fiscal Agent
Address	1212 Bath Ave.
City	Ashland
State	KY
ZIP	41101
Taxonomy	Supports Brokerage Agency
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicaid	$21M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5108	Home care training to home care client, per 15 minutes	133,140	$140	$18M
T2040	Financial management, self-directed, waiver; per 15 minutes	6,780	$360	$2.4M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1,860	$180	$331.3K
T1016	Case management, each 15 minutes	2,770	$100	$266.3K

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

Fivco Add Cdo As Fiscal Agent — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5108	Home care training to home care client, per 15 minutes	33	100	43,820	$140	$16.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	31	40	14,910	$160	$3.5M
T1016	Case management, each 15 minutes	36	60	3,410	$120	$970.5K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	15	40	1,370	$160	$315.4K

Nearby Providers

Other providers in the same ZIP code as Fivco Add Cdo As Fiscal Agent, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashland Hospital Corporation	KY	General Acute Care Hospital	$0	$222.9M
Pathways, Inc.	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$95.4M
Pathways Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$82.2M
A Brighter Future	KY	Community/Behavioral Health Agency	$0	$39.8M
A Center 4 Change	KY	Counseling Psychologist	$0	$22M
Our Lady Of Bellefonte Hospital Inc	KY	General Acute Care Hospital	$0	$12.1M
Advocate Medical Services, LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$10.6M
Ultimate Care Behavioral Health Services	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.6M
Wecare Medical, LLC	KY	Oxygen Equipment & Supplies (DME)	$0	$9.9M
Nancy Mussetter	KY	Dentist	$0	$8M

Fivco Add Cdo As Fiscal Agent — Billing Profile & Reimbursement Data

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Fivco Add Cdo As Fiscal Agent — Billing Profile & Reimbursement Data

Sign up for Fivco Add Cdo As Fiscal Agent — 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