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.

Wilson Counseling LLC (NPI 1427480060)

Field	Value
Entity Type	Organization
Organization	Wilson Counseling LLC
Address	1312 Westen St
City	Bowling Green
State	KY
ZIP	42104
Taxonomy	Clinical Social Worker
NPI Enumerated	August 6, 2013

Payer Source	Total Paid
Medicaid	$3.4M
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
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…	27,250	$70	$1.8M
T2023	Targeted case management; per month	3,390	$310	$1.1M
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…	3,950	$40	$173.7K
H0032	Mental health service plan development by non-physician	2,320	$60	$134.4K
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…	2,680	$40	$93.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,240	$70	$81.8K
99354	N/A	770	$50	$38.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,490	$10	$13.4K
H0001	Alcohol and/or drug assessment	100	$40	$3.4K
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…	70	$40	$2.8K

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

Wilson Counseling LLC — 1 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
H0004	Behavioral health counseling and therapy, per 15 minutes	165	180	1,320	$220	$1.9M
T2023	Targeted case management; per month	110	530	530	$300	$1.1M
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…	34	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…	49	1,270	760	$80	$447.2K
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…	160	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…	54	500	250	$60	$152.8K
99354	N/A	72	170	470	$50	$151K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	178	220	340	$60	$114.8K
H0032	Mental health service plan development by non-physician	51	380	160	$70	$107.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	94	290	670	$20	$103.8K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Wilson Counseling LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greenview Hospital, Inc.	KY	General Acute Care Hospital	$0	$49.1M
Advantage Health Club	KY	Adult Day Care Clinic/Center	$0	$20.6M
Faith Harbor	KY	Developmentally Disabled Services Day Training Agency	$0	$20.1M
Marpe' Therapy Services	KY	Mental Health Counselor	$0	$11.5M
Positive Directions Support Services, PLLC	KY	Community/Behavioral Health Agency	$0	$9.9M
Dungarvin Kentucky, LLC - Bowling Green	KY	Developmentally Disabled Services Day Training Agency	$0	$8.1M
Destiny Adult, Child & Family Services LLC	KY	Community/Behavioral Health Agency	$0	$7.1M
Familyworks Therapy, LLC	KY	Community/Behavioral Health Agency	$0	$7M
Zipclinic, Psc	KY	Primary Care Clinic/Center	$0	$4.4M
Ky Doctors Of Optometry, PLLC	KY	Eyewear Supplier	$0	$4.3M

Wilson Counseling LLC — Billing Profile & Reimbursement Data

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Wilson Counseling LLC — 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