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.

Appalachian Restoration Project Inc. (NPI 1285086207)

Field	Value
Entity Type	Organization
Organization	Appalachian Restoration Project Inc.
Address	335 N Main St
City	Barbourville
State	KY
ZIP	40906
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	July 1, 2016

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	38,570	$100	$3.7M
H2027	Psychoeducational service, per 15 minutes	2,510	$150	$364.2K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2,880	$90	$258.8K
T2023	Targeted case management; per month	820	$300	$241.5K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	980	$180	$179.5K
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…	2,780	$50	$125.1K
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	350	$210	$72.3K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	290	$10	$3.2K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	40	$40	$1.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	60	$10	$810

Showing 1–10 of 11

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

Appalachian Restoration Project Inc. — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	63	70	7,180	$270	$6.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	40	60	3,270	$170	$2.2M
H2027	Psychoeducational service, per 15 minutes	68	220	970	$170	$1.1M
T2023	Targeted case management; per month	227	530	530	$300	$1.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	83	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	29	320	3,070	$50	$678.3K
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…	334	1,270	760	$80	$447.2K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	183	220	340	$60	$114.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	254	290	670	$20	$103.8K
H0001	Alcohol and/or drug assessment	187	200	160	$60	$68.1K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Appalachian Restoration Project Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arh Mary Breckinridge Health Services, Inc.	KY	Critical Access Hospital	$0	$33.2M
Barbourville Family Health Center	KY	Rural Health Clinic/Center	$0	$7.6M
Family Pride Counseling	KY	Community/Behavioral Health Agency	$0	$3.9M
Family Health Care Associates Of Barbourville Inc	KY	Rural Health Clinic/Center	$0	$3.5M
Knox County Ambulance Service	KY	Land Ambulance	$313.3K	$971.6K
Ashutosh Lohe	KY	Nephrology Physician	$209.2K	$0
Syed Hasni	KY	Nephrology Physician	$188.6K	$0
James West	KY	Family Medicine Physician	$42.4K	$0
Kellie Smith	KY	Family Nurse Practitioner	$11.7K	$0
Richard Carter	KY	Family Medicine Physician	$10.1K	$0

Appalachian Restoration Project Inc. — Billing Profile & Reimbursement Data

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Appalachian Restoration Project Inc. — 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