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.

Caring Moore Homes (NPI 1578011326)

Field	Value
Entity Type	Organization
Organization	Caring Moore Homes
Address	4810 Straight Creek Rd
City	Ashland
State	KY
ZIP	41102
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	September 21, 2016

Payer Source	Total Paid
Medicaid	$21M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	29,170	$290	$8.3M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	16,650	$250	$4.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	13,050	$260	$3.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	3,650	$510	$1.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	8,850	$210	$1.8M
T2021	Day habilitation, waiver; per 15 minutes	5,290	$110	$555.8K
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	6,520	$80	$521.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	2,000	$190	$380.2K

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

Caring Moore Homes — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	102	150	42,680	$190	$11.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	60	180	1,320	$220	$1.9M
T2021	Day habilitation, waiver; per 15 minutes	117	150	16,130	$70	$1.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	5	20	3,310	$110	$923.7K
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	4	10	4,780	$50	$348.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	52	340	2,730	$40	$328.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	34	540	1,500	$50	$235.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	385	780	1,950	$30	$157.8K

Nearby Providers

Other providers in the same ZIP code as Caring Moore Homes, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashland Integrative Medicine LLC	KY	Family Medicine Physician	$0	$19.4M
Crossroads Of Hope,inc.	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$17.3M
Kentucky Medical Logistics Inc	KY	Land Ambulance	$1M	$1.1M
Jordan Conley	KY	Optometrist	$68.7K	$406.5K
Jessica Slone	KY	Family Nurse Practitioner	$171.1K	$0
Kari Shields	KY	Family Medicine Physician	$167K	$0
M & G Neurophysiology Inc	KY	Specialist	$66.6K	$41.9K
Illena Boggs	KY	Family Nurse Practitioner	$104.3K	$0
Aaron Smith	KY	Clinical Psychologist	$69.4K	$0
Brian Reilly	KY	Physical Therapist	$31.3K	$0

Caring Moore Homes — Billing Profile & Reimbursement Data

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Caring Moore Homes — 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