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.

Isaiah House, Inc. (NPI 1396086559)

Field	Value
Entity Type	Organization
Organization	Isaiah House, Inc.
Address	2084 Main St
City	Willisburg
State	KY
ZIP	40078
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	March 12, 2013

Payer Source	Total Paid
Medicaid	$94.7M
Medicare	$0

Key Findings

ISAIAH HOUSE, INC. is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports total Medicaid revenue of $94.7M, indicating a near‑exclusive reliance on Medicaid as its payer base rather than a balanced Medicare/Medicaid mix. This single‑payer orientation should shape contract and network strategies when evaluating the organization.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes account for 88.3% of the provider's Medicaid revenue, led by H0011 ($56.8M, 60.0%), followed by H2034 ($13.5M, 14.3%) and H2027 ($13.2M, 14.0%). That concentration implies that the provider’s financial performance is tightly linked to the utilization and reimbursement environment for these specific behavioral health and substance‑use service lines.

The code mix signals a service model built around intensive, residential, and group-based substance use treatment rather than primary medical care: H0011 (acute detoxification residential) is the top revenue driver with 215.1K claims at $264 avg paid/claim, H2034 (halfway house per diem) shows 58.6K claims at $231 avg paid/claim, and H2027 (psychoeducational per 15 minutes) records 76.5K claims at $173 avg paid/claim. These volumes and unit-payment patterns are consistent with large-scale, facility-based detox and transitional housing programs combined with high-frequency educational/group therapy offerings.

ISAIAH HOUSE is a dominant statewide provider for acute residential detoxification: H0011 ranks #1 of 72 providers in-state (100th percentile) and is labeled an "extreme outlier, far above typical state volume for this code," which objectively positions the organization as the largest in Kentucky for that service. That dominant standing for H0011 implies substantial bed capacity or throughput in detox services relative to in‑state peers.

For its other top services the provider also ranks highly but with different contextual notes: H2034 ranks #2 of 38 providers in-state (97th percentile) and is described as a "typical, unremarkable volume for this code," while H2027 ranks #3 of 220 providers in-state (99th percentile) and is noted as "notably above typical state volume for this code." In plain terms, the provider is a top-tier statewide participant for halfway‑house and psychoeducational services, with H2027 showing especially high relative intensity compared with most peers.

Supporting codes show a broader behavioral‑health footprint beyond the top three revenue drivers: H0015 (intensive outpatient) generated $2.8M from 26.3K claims, H0038 (self‑help/peer services) generated $2.5M from 93K claims, H0018 (short‑term residential) generated $2.1M from 11.3K claims, T2023 (targeted case management) generated $1.4M from 4.8K claims, and 80307 (presumptive drug testing) generated $999.6K from 22.2K claims. These line items indicate active use of outpatient, peer support, case management, and toxicology screening that complement the provider’s residential and halfway‑house operations.

Operational patterns implied by claim counts and unit payments point to high throughput and frequent encounters: the combination of large claim volumes (e.g., 215.1K for H0011, 76.5K for H2027, 58.6K for H2034) and per‑diem or per‑15‑minute billing suggests programs that bill repeatedly across days and sessions rather than one‑time episodic encounters. For payers and network managers, that pattern raises focus areas around utilization management, per‑diem contracting, and capacity planning for substance‑use treatment services.

The provider has been enumerated for a sustained period (NPI registered 2013-03-12, ~13 years ago), and the sequence of large, recurring Medicaid revenues over time (total $94.7M) supports that this is an established operator in its service niche. That tenure combined with the concentration in high‑volume detox and transitional housing services means changes in this provider’s capacity or payment rates could have meaningful impact on regional access to inpatient detox and halfway‑house resources.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	215,130	$260	$56.8M
H2034	Alcohol and/or drug abuse halfway house services, per diem	58,600	$230	$13.5M
H2027	Psychoeducational service, per 15 minutes	76,460	$170	$13.2M
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…	26,300	$110	$2.8M
H0038	Self‑help/peer services, per 15 minutes	93,030	$30	$2.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	11,330	$190	$2.1M
T2023	Targeted case management; per month	4,770	$300	$1.4M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	22,210	$50	$999.6K
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…	4,380	$70	$315.3K
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…	4,290	$40	$162.9K

Showing 1–10 of 31

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

Isaiah House, Inc. — 4 of 25 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	1	70	7,180	$270	$6.8M
H2034	Alcohol and/or drug abuse halfway house services, per diem	2	40	3,120	$220	$3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	14	50	4,480	$220	$2.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	46	60	3,270	$170	$2.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	167	180	1,320	$220	$1.9M
H2027	Psychoeducational service, per 15 minutes	3	220	970	$170	$1.1M
T2023	Targeted case management; per month	84	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…	13	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	8	320	3,070	$50	$678.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	52	340	2,700	$40	$673.3K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Isaiah House, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amy Feusner	KY	Clinical Social Worker	$64.3K	$0

Isaiah House, Inc. — Billing Profile & Reimbursement Data

Sign up for Isaiah House, Inc. — Billing Profile & Reimbursement Data policy alerts

Isaiah House, Inc. — Billing Profile & Reimbursement Data

Sign up for Isaiah House, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References