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.

Lifeskills, Inc (NPI 1295937712)

Field	Value
Entity Type	Organization
Organization	Lifeskills, Inc
Address	380 Suwannee Trail St
City	Bowling Green
State	KY
ZIP	42103
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 5, 2007

Payer Source	Total Paid
Medicaid	$168.8M
Medicare	$0

Key Findings

LIFESKILLS, INC reports no Medicare billing on file and $168.8M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid-focused operator in the available datasets. Analysts should treat Medicaid performance as the primary lens for competitive and operational analysis rather than cross-payer comparisons.

The provider has an established presence with an NPI enumerated on 2007-06-05 (~19 years ago), indicating long-tenure market participation which can support scale in staffing, billing processes, and state contracting relationships. This longevity aligns with the large claim volumes reported on several Medicaid codes.

Revenue is highly concentrated: the precomputed top three Medicaid codes by revenue account for 78.6% of the provider's total Medicaid revenue. Those top three are 97535 ($84.3M, 49.9% of Medicaid revenue), T2016 ($32.3M, 19.1%), and T1019 ($16M, 9.5%), so a small set of service lines drive the majority of receipts.

The code mix points to a service model centered on intensive therapeutic and habilitation supports: 97535 (therapeutic instruction/therapeutic activities), T2016 (habilitation, residential, waiver per diem), and T1019 (personal care services per 15 minutes) together suggest the organization operates large-scale residential and home-based habilitation and direct-care programs. Complementary codes such as T2022 (case management), S5108 (home care training), T2021 (day habilitation) and T1005 (respite care) further indicate an integrated suite of community and waiver services rather than episodic clinical care.

On competitive standing within Kentucky, LIFESKILLS is an outlier for key service lines: 97535 ranks #5 of 305 providers in-state (99th percentile; extreme outlier) and T2016 ranks #4 of 146 providers in-state (98th percentile; extreme outlier), signaling dominant volume for those specific services. By contrast, its T1019 activity ranks #11 of 51 (80th percentile; typical, unremarkable volume), so dominance is concentrated in particular codes rather than across all habilitation/personal-care codes.

Several secondary Medicaid codes show materially above-typical activity and help diversify service delivery: T2022 (46.4K claims, $12M revenue) ranks #5 of 81 providers in-state (95th percentile; notably above typical state volume) and T1005 (62.5K claims, $4.3M revenue) ranks #3 of 81 (98th percentile; notably above typical state volume). At the same time, other lines such as S5108 (93.1K claims, $10M revenue) rank #38 of 101 (63th percentile; typical, unremarkable volume), indicating a mix of intensely concentrated specialties with more typical program-level activity.

Operationally, the raw claim volumes and per-claim payments underline the scale and labor intensity of the provider: for example, 97535 shows 691.1K claims at $122 avg paid/claim and T2016 shows 229.3K claims at $141 avg paid/claim. These volumes imply significant staffing, scheduling, and billing capacity requirements and create sensitivity to changes in per-claim rates or eligibility rules for the dominant codes.

From a payer-strategy and risk perspective, the combination of being Medicaid-only in the file set and having 78.6% of Medicaid revenue tied to three codes creates both leverage and vulnerability. The provider likely has negotiating weight for residential habilitation and therapy services in-state due to extreme-outlier volumes, but it is also exposed to policy, rate, or utilization shifts that affect 97535, T2016, or T1019.

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
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	691,060	$120	$84.3M
T2016	Habilitation, residential, waiver; per diem	229,250	$140	$32.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	159,970	$100	$16M
T2022	Case management, per month	46,440	$260	$12M
S5108	Home care training to home care client, per 15 minutes	93,090	$110	$10M
T2021	Day habilitation, waiver; per 15 minutes	92,990	$60	$5.1M
T2040	Financial management, self-directed, waiver; per 15 minutes	47,710	$100	$4.8M
T1005	Respite care services, up to 15 minutes	62,520	$70	$4.3M
H0039	Assertive community treatment, face-to-face, per 15 minutes	1,140	$10	$11.4K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	30	$370	$10.3K

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

Lifeskills, Inc — 4 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
S5108	Home care training to home care client, per 15 minutes	38	100	43,820	$140	$16.6M
T2016	Habilitation, residential, waiver; per diem	4	150	42,680	$190	$11.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	11	50	13,600	$140	$11.1M
T2022	Case management, per month	5	80	7,120	$290	$4.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	5	310	830	$120	$3.7M
T2040	Financial management, self-directed, waiver; per 15 minutes	6	40	14,910	$160	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	8	150	16,130	$70	$1.7M
T1005	Respite care services, up to 15 minutes	3	80	2,880	$70	$799.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	36	40	1,370	$160	$315.4K
T2019	Habilitation, supported employment, waiver; per 15 minutes	10	10	2,500	$70	$217.2K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeskills, Inc.	KY	Community/Behavioral Health Agency	$0	$81.9M
Uhs Of Bowling Green LLC	KY	Psychiatric Hospital	$0	$41.2M
Acculab, LLC	KY	Clinical Medical Laboratory	$699.2K	$21.1M
Interventional Pain Specialists Of Bowling Green Plc	KY	Pain Medicine (Anesthesiology) Physician	$0	$10.6M
Pediatric Dentistry Of Southern Kentucky	KY	Pediatric Dentistry	$0	$9M
Growing Minds Learning Center, LLC	KY	Behavior Analyst	$0	$8.9M
Bowling Green Warren County Primary Care Center, Inc.	KY	Federally Qualified Health Center (FQHC)	$0	$8.5M
Amanda Ashley	KY	Pediatric Dentistry	$0	$8.4M
Lucasacare	KY	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Lucasacarebg, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$6.7M

Lifeskills, Inc — Billing Profile & Reimbursement Data

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Lifeskills, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References