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.

Expanded Horizons Of Kentucky Inc (NPI 1528471232)

Field	Value
Entity Type	Organization
Organization	Expanded Horizons Of Kentucky Inc
Address	1450 Gardiner Ln Ste C
City	Louisville
State	KY
ZIP	40213
Taxonomy	Professional Counselor
NPI Enumerated	June 10, 2014

Payer Source	Total Paid
Medicaid	$27M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	27,880	$350	$9.7M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	51,820	$190	$9.6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	20,160	$330	$6.7M
T1005	Respite care services, up to 15 minutes	8,290	$120	$1M

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

Expanded Horizons Of Kentucky Inc — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	22	50	13,600	$140	$11.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	21	310	830	$120	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	20	180	1,320	$220	$1.9M
T1005	Respite care services, up to 15 minutes	23	80	2,880	$70	$799.2K

Nearby Providers

Other providers in the same ZIP code as Expanded Horizons Of Kentucky Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Buena Vida Adhc, LLC	KY	Adult Day Care Clinic/Center	$0	$78.3M
Day Spring Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.7M
Louisville Optometric Centers Iii, Psc	KY	Optometrist	$0	$4.6M
Pearl Medical Practice PLLC	KY	Primary Care Clinic/Center	$0	$4.3M
Shanker Chandiramani	KY	Cardiovascular Disease Physician	$327.3K	$0
Sheena Steele	KY	Nurse Practitioner	$210.3K	$0
Terrence Donohue	KY	Internal Medicine Physician	$181.1K	$0
Gregory Abbas	KY	Otolaryngology Physician	$143.6K	$0
Carmel Person	KY	Internal Medicine Physician	$141.9K	$0
Vicky Raisor	KY	Nurse Practitioner	$123.7K	$0

Expanded Horizons Of Kentucky Inc — Billing Profile & Reimbursement Data

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Expanded Horizons Of Kentucky Inc — 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