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.

Hope (NPI 1356893630)

Field	Value
Entity Type	Organization
Organization	Hope
Address	106 Cemetery Rd
City	Lebanon
State	KY
ZIP	40033
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 2, 2016

Payer Source	Total Paid
Medicaid	$6.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	19,920	$220	$4.3M
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…	10,180	$70	$692.3K
H2020	Therapeutic behavioral services, per diem	2,430	$220	$526.2K
T2023	Targeted case management; per month	1,620	$300	$492.1K
90834	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…	1,840	$50	$84.4K
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…	1,310	$40	$49.7K
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…	1,240	$40	$48.3K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	770	$40	$27.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	210	$80	$16.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	240	$50	$11.9K

Showing 1–10 of 15

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

Hope — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	259	310	830	$120	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	23	180	1,320	$220	$1.9M
H2020	Therapeutic behavioral services, per diem	55	130	1,730	$180	$1.2M
T2023	Targeted case management; per month	168	530	530	$300	$1.1M
H0023	Alcohol and/or drug outreach	14	20	1,570	$50	$454.8K
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…	129	1,270	760	$80	$447.2K
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…	1,551	3,340	1,020	$30	$296K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,589	2,460	580	$40	$245K
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…	228	600	600	$40	$207.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	62	90	250	$90	$199.4K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mmhh, LLC	KY	Adult Day Care Clinic/Center	$0	$41.5M
Spring View Hospital LLC	KY	Rural Acute Care Hospital	$0	$23.4M
Marion County County Treasurer	KY	Land Ambulance	$331.4K	$447.5K
Stefanie Spalding	KY	Nurse Practitioner	$494.8K	$0
Air Evac Ems, Inc.	KY	Air Ambulance	$262.7K	$31.5K
William Kirk	KY	Internal Medicine Physician	$185.1K	$3.3K
Jared Malan	KY	Foot & Ankle Surgery Podiatrist	$77.2K	$3K
Sarah Coulter	KY	Skilled Nursing Facility	$53.3K	$0
Kelly Deatley	KY	Family Medicine Physician	$46K	$0
David George	KY	Internal Medicine Physician	$45.6K	$0

Hope — Billing Profile & Reimbursement Data

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Hope — 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