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.

Rivervalley Behavioral Health Inc (NPI 1285689711)

Field	Value
Entity Type	Organization
Organization	Rivervalley Behavioral Health Inc
Address	1100 Walnut St
City	Owensboro
State	KY
ZIP	42301
Taxonomy	Community Health Clinic/Center
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$28.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 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…	104,170	$80	$8.6M
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…	18,380	$110	$1.9M
H2015	Comprehensive community support services, per 15 minutes	26,810	$70	$1.9M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	69,570	$30	$1.8M
S9485	Crisis intervention mental health services, per diem	7,610	$230	$1.8M
H2019	Therapeutic behavioral services, per 15 minutes	8,960	$190	$1.7M
T2023	Targeted case management; per month	5,300	$280	$1.5M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	33,790	$40	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	9,570	$150	$1.4M
H2020	Therapeutic behavioral services, per diem	11,510	$120	$1.4M

Showing 1–10 of 29

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

Rivervalley Behavioral Health Inc — 5 of 25 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

29 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	37	70	7,180	$270	$6.8M
T2040	Financial management, self-directed, waiver; per 15 minutes	43	40	14,910	$160	$3.5M
S9485	Crisis intervention mental health services, per diem	6	10	7,960	$280	$2.5M
H2019	Therapeutic behavioral services, per 15 minutes	7	50	820	$190	$1.7M
H0040	Assertive community treatment program, per diem	5	10	1,230	$670	$1.4M
H2020	Therapeutic behavioral services, per diem	18	130	1,730	$180	$1.2M
T2023	Targeted case management; per month	77	530	530	$300	$1.1M
H2021	Community-based wrap-around services, per 15 minutes	5	30	2,140	$130	$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…	23	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	178	320	3,070	$50	$678.3K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rivervalley Behavioral Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rivervalley Behavioral Health Inc	KY	Psychiatric Hospital	$0	$6.6M
Kalyan Subedi	KY	Psychiatric/Mental Health Nurse Practitioner	$8.5K	$0
Erik Rotterman	KY	Psychiatry Physician	$6.3K	$0

Nearby Providers

Other providers in the same ZIP code as Rivervalley Behavioral Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green River Regional Mental Health/mental Retardation Board, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$98.6M
Green River Area Development District	KY	Supports Brokerage Agency	$0	$92.9M
Behavioral Healthcare Services, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$18.1M
Bridges Of Kentucky, Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16M
Allied Adult Day Care, LLC	KY	Adult Day Care Clinic/Center	$0	$14M
Owensboro Health Medical Group, Inc	KY	Family Medicine Physician	$0	$10.6M
Green River Regional Mental Health/mental Retardation Board, Inc.	KY	Adult Day Care Clinic/Center	$0	$8.7M
To The Max Behavior Therapy, LLC	KY	Behavior Technician	$0	$6.9M
Behavior Associates, LLC	KY	Behavior Analyst	$0	$6M
Green River Regional Mental Health/mental Retardation Board, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$5M

Rivervalley Behavioral Health Inc — Billing Profile & Reimbursement Data

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Rivervalley Behavioral Health 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

Related Providers

Nearby Providers

Frequently Asked Questions

References