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 1346321643)

Field	Value
Entity Type	Organization
Organization	Lifeskills, Inc.
Address	735 North Dr
City	Hopkinsville
State	KY
ZIP	42240
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$87.9M
Medicare	$0

Key Findings

LIFESKILLS, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue is $87.9M, indicating the organization’s operations are concentrated entirely within Medicaid-funded services. The absence of Medicare activity suggests the provider focuses on services and populations primarily covered by state Medicaid programs rather than traditional Medicare beneficiaries.

Revenue concentration is high: the precomputed note shows the top 3 Medicaid codes account for 59.6% of the provider’s total Medicaid revenue. This level of concentration indicates a business model built around a small number of high-volume service lines rather than a broad, evenly distributed service mix.

The dominant Medicaid revenue driver is 97535, which produced $29.2M (33.4% of Medicaid revenue) across 260.7K claims and ranks #9 of 305 providers in-state (97th percentile). This strong position for a rehabilitative/skill-training code identifies the provider as a major in-person functional training and recovery instruction provider within Kentucky.

Two other high-value codes — T1019 ($11.8M, 13.5% of Medicaid revenue) and T2016 ($11.1M, 12.7% of Medicaid revenue) — further define the service portfolio as personal care and residential habilitation/waiver supports. Together with 97535 these top three codes make up the majority of Medicaid revenue, suggesting LIFESKILLS operates at scale in habilitation, personal care, and residential waiver services.

Competitive standing is mixed by code: for several high-volume codes LIFESKILLS ranks in strong percentiles statewide (for example 97535 in the 97th percentile and H0018 at the 88th percentile), signaling market leadership in selected service lines. Other important codes such as T1019 and T2016 sit in more typical volume percentiles (72nd and 70th), indicating solid but not dominant statewide positions in those specific waiver and personal care services.

The provider also records notably above-typical state volume for several behavioral health screening and evaluation codes: H0002 ranks #4 of 165 providers in-state (98th percentile) and 90791 ranks in the 98th percentile as well. These placements show a meaningful role in initial behavioral health assessment and psychiatric evaluation services relative to peers statewide.

Service mix and code-level details imply an operational model focused on community habilitation, personal care, day habilitation and targeted case management: codes such as T2021, T2022, T2023, S5108 and T2040 appear in the top code list and together reflect both direct care and care coordination/management components typical of developmentally disabled services. The presence of both per-diem residential habilitation (T2016) and per-15-minute day habilitation (T2021/T1019) suggests a blended delivery model of residential and day supports.

Tenure is long: the NPI was enumerated on 2006-10-17, indicating roughly two decades of registration. This multi-year presence, combined with high volume on core Medicaid codes, supports interpretation of LIFESKILLS as an established regional provider rather than a recent entrant.

Although the provider shows leadership in several high-use Medicaid codes, many additional codes have typical or mixed percentile placements (several in the 50–90th percentile range). This pattern implies focused dominance in a few specialties while remaining a competitive but not always top-ranked participant across the broader set of behavioral health and habilitation services in Kentucky.

Medicaid: Complete Services Breakdown

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

42 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.	260,670	$110	$29.2M
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…	72,820	$160	$11.8M
T2016	Habilitation, residential, waiver; per diem	66,130	$170	$11.1M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	27,180	$170	$4.7M
T2022	Case management, per month	16,350	$270	$4.3M
T2021	Day habilitation, waiver; per 15 minutes	58,020	$70	$4M
S5108	Home care training to home care client, per 15 minutes	36,100	$110	$4M
T2023	Targeted case management; per month	11,920	$300	$3.5M
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…	23,600	$90	$2.1M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	10,000	$160	$1.6M

Showing 1–10 of 42

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. — 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

42 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	54	100	43,820	$140	$16.6M
T2016	Habilitation, residential, waiver; per diem	45	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…	15	50	13,600	$140	$11.1M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	32	70	7,180	$270	$6.8M
T2022	Case management, per month	21	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.	9	310	830	$120	$3.7M
T2040	Financial management, self-directed, waiver; per 15 minutes	20	40	14,910	$160	$3.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	7	50	4,480	$220	$2.4M
H2012	Behavioral health day treatment, per hour	10	10	4,990	$240	$2.3M
T2021	Day habilitation, waiver; per 15 minutes	17	150	16,130	$70	$1.7M

Showing 1–10 of 42

Related Providers

Other providers that share a Tax Identification Number (TIN) with 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
Cindy Petzke	IN	Psychiatric/Mental Health Nurse Practitioner	$4.8K	$0

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
Jennie Stuart Medical Center Inc	KY	General Acute Care Hospital	$0	$50.8M
Pennyrile Area Develpoment District	KY	Supports Brokerage Agency	$0	$24.1M
Hands Of Hope Services, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.5M
Acsr, Inc.	KY	Adult Day Care Clinic/Center	$0	$10.4M
Redeemed And Restored, Inc.	KY	Substance Abuse Rehabilitation Facility	$0	$4.4M
Western Ky Medical, LLC	KY	Methadone Clinic	$82.9K	$4.3M
Fairview Physicians Network LLC	KY	Family Medicine Physician	$0	$4.4M
Pennyrile Home Medical Inc	KY	Oxygen Equipment & Supplies (DME)	$0	$3.7M
Hopkinsville-christian County Ambulance Service	KY	Land Ambulance	$921.8K	$2.3M
Air Evac Ems Inc	KY	Air Ambulance	$640.7K	$1.3M

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

Related Providers

Nearby Providers

Frequently Asked Questions

References