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.

Heartfelt Solutions, PLLC (NPI 1376818815)

Field	Value
Entity Type	Organization
Organization	Heartfelt Solutions, PLLC
Address	8920 Stone Green Way Ste 100
City	Louisville
State	KY
ZIP	40220
Taxonomy	Behavior Analyst
NPI Enumerated	March 16, 2012

Payer Source	Total Paid
Medicaid	$13.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	38,570	$300	$11.6M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	10,010	$140	$1.4M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	430	$130	$56K
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…	730	$70	$52.8K
T1005	Respite care services, up to 15 minutes	220	$100	$22.2K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	210	$70	$15.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	110	$90	$9.9K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	270	$20	$5.7K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	50	$100	$5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	30	$60	$1.7K

Showing 1–10 of 12

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

Heartfelt Solutions, PLLC — 0 of 12 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

12 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.	55	310	830	$120	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	14	180	1,320	$220	$1.9M
T1005	Respite care services, up to 15 minutes	74	80	2,880	$70	$799.2K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	35	40	1,770	$150	$567.9K
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…	642	1,270	760	$80	$447.2K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	23	30	910	$130	$217.1K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	24	30	90	$70	$84.2K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	26	30	170	$60	$66.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	356	680	130	$80	$62.9K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	7	20	160	$80	$38K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Active Day Ky, Inc.	KY	Adult Day Care Clinic/Center	$0	$75.7M
Clinical Associates, LLC	KY	Anatomic Pathology & Clinical Pathology Physician	$1.8M	$60.7M
D&s Residential Services, LP	KY	Developmental Disabilities Clinic/Center	$0	$17.5M
Newcare Of Louisville, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.3M
Advanced Ent And Allergy PLLC	KY	Otolaryngology Physician	$0	$12.8M
Brighter Day Neurotherapy	KY	Developmentally Disabled Services Day Training Agency	$0	$5M
Capacity Care,inc	KY	Multi-Specialty Clinic/Center	$0	$3.6M
Andrea Burch	KY	Dermatopathology Physician	$406.2K	$0
Swati Daftary	KY	Physical Medicine & Rehabilitation Physician	$288.1K	$0
Mohammad Haider	KY	Ophthalmology Physician	$251.2K	$2.4K

Heartfelt Solutions, PLLC — Billing Profile & Reimbursement Data

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Heartfelt Solutions, PLLC — 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