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.

Buena Vida Adhc, LLC (NPI 1356974646)

Field	Value
Entity Type	Organization
Organization	Buena Vida Adhc, LLC
Address	4620 Preston Hwy
City	Louisville
State	KY
ZIP	40213
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	February 15, 2020

Payer Source	Total Paid
Medicaid	$78.3M
Medicare	$0

Key Findings

BUENA VIDA ADHC, LLC operates primarily as an adult day care and home-support services provider based on its code mix: S5108 (home care training to home care client, per 15 minutes), S5100 (day care services, adult; per 15 minutes), and S5170 (home delivered meals, including preparation; per meal). The presence of large volumes billed on per-15-minute and per-meal codes indicates an operational model built around high-frequency, time- and meal-based service delivery rather than episodic acute care.

Medicaid revenue is highly concentrated: the top three Medicaid codes account for 99.3% of this provider's total Medicaid revenue. Individually those codes are S5108 with $71.9M (91.9% of Medicaid revenue), S5100 with $3.5M (4.5%), and S5170 with $2.3M (3.0%), and the provider reports total Medicaid revenue of $78.3M.

This provider is effectively single-payer at this time: there is no Medicare billing on file while Medicaid revenue totals $78.3M. The absence of Medicare activity means analyses of reimbursement risk or payer diversification should focus on Medicaid program changes and state-level policy shifts rather than Medicare reimbursement dynamics.

BUENA VIDA is a notable statewide player on the home-delivered meals line: it reported 145.8K claims for S5170 with a $16 avg paid/claim, generating $2.3M and ranking #2 of 56 providers in-state (98th percentile; labeled notably above typical state volume). That ranking and volume position the provider as a leader in meal-delivery services among in-state peers, suggesting capacity and operational scale in that specific service.

For its largest revenue driver, S5108, the provider reported 327K claims at a $220 avg paid/claim for $71.9M and ranks #11 of 101 in-state (90th percentile; characterized in the data as typical, unremarkable volume). This combination of very high claim count and a high per-claim payment makes S5108 the dominant revenue stream, indicating core business activity is home-care training delivered at scale.

S5100 and T1016 play smaller roles in the revenue mix: S5100 had 44K claims at an $80 avg paid/claim for $3.5M and ranks #23 of 102 in-state (78th percentile), while T1016 recorded 4.1K claims at a $123 avg paid/claim for $510.2K and ranks #27 of 63 (58th percentile). These positions reflect solid but secondary participation in adult day care delivery and modest engagement in billed case management respectively.

The provider’s NPI was enumerated on 2020-02-15 (~6 years ago), indicating a multi-year presence in the market but not a long-established legacy provider. Given the heavy reliance on a very small set of Medicaid codes (top three = 99.3% of Medicaid revenue) the business is operationally specialized and could be sensitive to reimbursement changes or policy shifts specifically affecting S5108, S5100, or S5170 codes.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5108	Home care training to home care client, per 15 minutes	326,970	$220	$71.9M
S5100	Day care services, adult; per 15 minutes	43,970	$80	$3.5M
S5170	Home delivered meals, including preparation; per meal	145,760	$20	$2.3M
T1016	Case management, each 15 minutes	4,150	$120	$510.2K

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

Buena Vida Adhc, LLC — 1 of 4 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

4 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	11	100	43,820	$140	$16.6M
S5100	Day care services, adult; per 15 minutes	23	100	16,270	$70	$1.9M
T1016	Case management, each 15 minutes	27	60	3,410	$120	$970.5K
S5170	Home delivered meals, including preparation; per meal	2	60	5,170	$10	$342.6K

Nearby Providers

Other providers in the same ZIP code as Buena Vida Adhc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Expanded Horizons Of Kentucky Inc	KY	Professional Counselor	$0	$27M
Day Spring Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.7M
Louisville Optometric Centers Iii, Psc	KY	Optometrist	$0	$4.6M
Pearl Medical Practice PLLC	KY	Primary Care Clinic/Center	$0	$4.3M
Shanker Chandiramani	KY	Cardiovascular Disease Physician	$327.3K	$0
Sheena Steele	KY	Nurse Practitioner	$210.3K	$0
Terrence Donohue	KY	Internal Medicine Physician	$181.1K	$0
Gregory Abbas	KY	Otolaryngology Physician	$143.6K	$0
Carmel Person	KY	Internal Medicine Physician	$141.9K	$0
Vicky Raisor	KY	Nurse Practitioner	$123.7K	$0

Buena Vida Adhc, LLC — Billing Profile & Reimbursement Data

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Buena Vida Adhc, LLC — 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