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.

Alternative Outlook, LLC (NPI 1558547836)

Field	Value
Entity Type	Organization
Organization	Alternative Outlook, LLC
Address	6905 Hwy 550 East
City	Hindman
State	KY
ZIP	41822
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 16, 2008

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	40,690	$210	$8.7M
T2022	Case management, per month	5,100	$360	$1.8M
T2021	Day habilitation, waiver; per 15 minutes	20,810	$60	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	10,360	$80	$849.4K
H0023	Alcohol and/or drug outreach	7,190	$50	$388.3K

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

Alternative Outlook, LLC — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	79	150	42,680	$190	$11.3M
T2022	Case management, per month	48	80	7,120	$290	$4.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	38	180	1,320	$220	$1.9M
T2021	Day habilitation, waiver; per 15 minutes	60	150	16,130	$70	$1.7M
H0023	Alcohol and/or drug outreach	6	20	1,570	$50	$454.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Treasured Friends LLC	KY	Community/Behavioral Health Agency	$0	$11.1M
Samantha Lee	KY	Family Nurse Practitioner	$86.5K	$0
Kevin Davis	KY	Medical Physician Assistant	$9.4K	$58.7K
Warren Stumbo	KY	Family Medicine Physician	$36.6K	$0

Alternative Outlook, LLC — Billing Profile & Reimbursement Data

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Alternative Outlook, LLC — Billing Profile & Reimbursement Data

Sign up for Alternative Outlook, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References