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.

Children's Home Of Northern Kentucky (NPI 1386979615)

Field	Value
Entity Type	Organization
Organization	Children's Home Of Northern Kentucky
Address	200 Home Rd
City	Covington
State	KY
ZIP	41011
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 5, 2009

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	15,930	$220	$3.6M
T2023	Targeted case management; per month	6,730	$300	$2M
S9480	Intensive outpatient psychiatric services, per diem	6,690	$130	$889.5K
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…	6,780	$60	$433.6K
H2033	Multisystemic therapy for juveniles, per 15 minutes	2,190	$110	$242.5K
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…	3,150	$50	$141.8K
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…	3,160	$40	$110.6K
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…	1,740	$60	$97.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,120	$80	$93.7K
H0031	Mental health assessment, by non-physician	1,620	$60	$92.3K

Showing 1–10 of 22

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

Children's Home Of Northern Kentucky — 0 of 21 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	5	10	4,990	$240	$2.3M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	50	60	3,270	$170	$2.2M
T2023	Targeted case management; per month	57	530	530	$300	$1.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	148	230	1,750	$110	$793.5K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	82	140	460	$70	$475.2K
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…	176	1,270	760	$80	$447.2K
H2033	Multisystemic therapy for juveniles, per 15 minutes	2	10	2,190	$140	$439.4K
S9480	Intensive outpatient psychiatric services, per diem	3	20	1,370	$90	$339.7K
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…	2,341	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…	806	2,460	580	$40	$245K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Children's Home Of Northern Kentucky, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gravity Diagnostics, LLC	KY	Clinical Medical Laboratory	$1.6M	$116.2M
Northern Kentucky Mental Health Mental Retardation Regional Board	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$68.3M
Northern Kentucky Mental Health Mental Retardation Regional Board	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$53.4M
Nky Med, LLC	KY	Methadone Clinic	$298.9K	$24.4M
The Point Arc Of Northern Kentucky	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.6M
Summit Medical Group, Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.2M
Familycare Counseling Solutions LLC	KY	Professional Counselor	$0	$3.2M
Caretenders Vs Of Central Ky, LLC	KY	Home Health Agency	$0	$2.9M
City Of Covington	KY	Ambulance	$355.7K	$1.6M
William Metzger	KY	Optometrist	$194.5K	$43K

Children's Home Of Northern Kentucky — Billing Profile & Reimbursement Data

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Children's Home Of Northern Kentucky — 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