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.

Beall Recovery Clinics (NPI 1356997449)

Field	Value
Entity Type	Organization
Organization	Beall Recovery Clinics
Address	1145 W Lexington Ave Ste C
City	Winchester
State	KY
ZIP	40391
Taxonomy	Addiction Medicine (Preventive Medicine) Physician
NPI Enumerated	August 14, 2019

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50,970	$40	$2.2M
T2023	Targeted case management; per month	6,950	$290	$2M
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…	14,490	$30	$463.6K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	1,600	$60	$95.8K
H0038	Self‑help/peer services, per 15 minutes	10,340	$10	$82.7K
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…	1,990	$30	$61.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	810	$60	$49.5K
99204	The provider sees a new 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 provider…	180	$80	$13.7K
H0001	Alcohol and/or drug assessment	210	$40	$8.7K
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…	30	$40	$1000

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

Beall Recovery Clinics — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	54	530	530	$300	$1.1M
H0038	Self‑help/peer services, per 15 minutes	89	320	3,070	$50	$678.3K
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…	110	3,340	1,020	$30	$296K
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…	50	600	600	$40	$207.8K
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…	461	500	250	$60	$152.8K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	54	220	340	$60	$114.8K
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…	56	280	370	$40	$68.3K
H0001	Alcohol and/or drug assessment	84	200	160	$60	$68.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	134	680	130	$80	$62.9K
99204	The provider sees a new 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 provider…	446	1,020	120	$70	$62K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Hospital, LLC	KY	General Acute Care Hospital	$0	$83.8M
Kentucky Addiction Centers, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$16.7M
Dungarvin Kentucky, LLC - Winchester	KY	Developmentally Disabled Services Day Training Agency	$0	$13.4M
Caky E Winchester	KY	Case Management Agency	$0	$12.1M
New Day Recovery Center	KY	Substance Abuse Rehabilitation Facility	$0	$10.6M
Clark Regional Physician Practices, LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$9.4M
John I. Gray, Iii, Psc	KY	Oral and Maxillofacial Surgery (Dentist)	$0	$7.1M
Clark Emergency Physicians	KY	Emergency Medicine Physician	$0	$6.7M
Kentucky Orthopaedics & Spine PLLC	KY	Orthopaedic Surgery Physician	$0	$4.6M
Timothy Crisp	KY	Pediatric Dentistry	$0	$4.4M

Beall Recovery Clinics — Billing Profile & Reimbursement Data

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Beall Recovery Clinics — 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