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.

Frontier Behavioral Health Center PLLC (NPI 1295287118)

Field	Value
Entity Type	Organization
Organization	Frontier Behavioral Health Center PLLC
Address	838 E Mountain Pkwy
City	Salyersville
State	KY
ZIP	41465
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	October 26, 2016

Payer Source	Total Paid
Medicaid	$24.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	36,570	$260	$9.4M
T2023	Targeted case management; per month	16,590	$310	$5.1M
H2020	Therapeutic behavioral services, per diem	13,630	$190	$2.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	10,040	$180	$1.8M
H2034	Alcohol and/or drug abuse halfway house services, per diem	7,770	$230	$1.8M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	17,730	$50	$797.9K
H0038	Self‑help/peer services, per 15 minutes	28,680	$20	$516.3K
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…	4,570	$110	$483.9K
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…	15,170	$30	$470.1K
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…	15,650	$30	$469.6K

Showing 1–10 of 31

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

Frontier Behavioral Health Center PLLC — 1 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

31 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	14	70	7,180	$270	$6.8M
H2034	Alcohol and/or drug abuse halfway house services, per diem	14	40	3,120	$220	$3M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	15	60	3,270	$170	$2.2M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	31	50	2,830	$90	$1.4M
H2020	Therapeutic behavioral services, per diem	16	130	1,730	$180	$1.2M
H2027	Psychoeducational service, per 15 minutes	61	220	970	$170	$1.1M
T2023	Targeted case management; per month	24	530	530	$300	$1.1M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	38	80	990	$60	$912.2K
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…	64	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	37	320	3,070	$50	$678.3K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Callie Jervis	KY	Family Nurse Practitioner	$109K	$0

Nearby Providers

Other providers in the same ZIP code as Frontier Behavioral Health Center PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Albaree Health Services LLC	KY	Internal Medicine Physician	$0	$10.1M
Lisa Cheek	KY	Family Nurse Practitioner	$41.1K	$642.4K
Kerri Dues	KY	Occupational Therapist	$62.9K	$0
Sarah Patrick	KY	Family Nurse Practitioner	$12.9K	$26.4K
Sarah Dyer	KY	Family Nurse Practitioner	$10.8K	$0
Whitney Nelson	KY	Family Nurse Practitioner	$670	$0

Frontier Behavioral Health Center PLLC — Billing Profile & Reimbursement Data

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Frontier Behavioral Health Center PLLC — 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