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.

Northern Kentucky Mental Health Mental Retardation Regional Board (NPI 1578527610)

Field	Value
Entity Type	Organization
Organization	Northern Kentucky Mental Health Mental Retardation Regional Board
Address	502 Farrell Dr
City	Covington
State	KY
ZIP	41011
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicaid	$53.4M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: it reports $53.4M in lifetime Medicaid revenue and has no Medicare billing on file. The absence of Medicare activity means payer mix is heavily concentrated in Medicaid dollars and program participation rather than split across Medicare and Medicaid populations.

Revenue concentration is high: the precomputed top three Medicaid codes account for 59.7% of the provider’s total Medicaid revenue, with 90837 contributing $17.7M (33.2%), T2023 contributing $10.6M (19.8%), and H0002 contributing $3.6M (6.7%). This concentration signals that a few service lines—long psychotherapy sessions, targeted case management, and behavioral health screening—drive the majority of reported Medicaid revenue.

The code mix and volumes indicate a community mental health center model that combines high-volume psychotherapy with intensive care coordination. 90837 (172.2K claims, $103 avg paid/claim) dominates clinical revenue and is paired with large-scale case management via T2023 (36.8K claims, $287 avg paid/claim) and admissions/screening activity via H0002 (40.6K claims, $88 avg paid/claim), consistent with integrated outpatient treatment plus targeted community supports.

On competitive standing within Kentucky, the provider is a dominant outlier for its top codes: 90837 ranks #6 of 1266 providers in-state (100th percentile; extreme outlier), T2023 ranks #10 of 525 providers (98th percentile; extreme outlier), and H0002 ranks #2 of 165 providers (99th percentile; extreme outlier). These rankings indicate the organization operates at a much higher scale for these services than typical in-state peers, positioning it as a major statewide provider for long psychotherapy sessions and targeted case management.

Service delivery also appears to include both high-volume low-unit per-diem programs and higher-paid intensive programs. For example, T1040 shows 218.9K claims at $7 avg paid/claim for $1.5M revenue (rank #4 of 4 providers in-state), indicating a very high claim count for a low per-diem rate, while H0040 (3.4K claims, $622 avg paid/claim, $2.1M) reflects specialized, higher-rate assertive community treatment. This contrast suggests mixed reimbursement models and multiple program types under the provider’s operation.

Beyond the top three, the provider reports broad service breadth with high utilization of foundational community mental health services: large claim counts for H0038 (50.5K claims, $1.6M), 90832 (46K claims, $2.4M), 99213 (72.5K claims, $2.4M), and 90834 (28.6K claims, $2.3M). Many of these codes rank in high percentiles (for example, 99213 ranks in the 98th percentile and 90832 in the 98th percentile), indicating consistently above-typical state volume across psychotherapy, E/M visits, and peer/self-help services.

The provider’s programmatic footprint includes care coordination and treatment planning at scale, evidenced by T2023 (targeted case management), H0032 (14.5K claims, $1.5M; 98th percentile), and H0031 (19.4K claims, $1.9M; 98th percentile). High-ranking placements for these non-physician care-management and plan-development codes point to an operational emphasis on managing and coordinating Medicaid behavioral health populations rather than predominantly episodic, physician-led care.

The organization has established tenure in the field, with an NPI enumeration date of 2006-04-14 (~20 years ago), which alongside the high statewide rankings and large claim volumes suggests long-standing, scale operations in Kentucky’s public behavioral health system. Given the combination of tenure, revenue concentration in psychotherapy and case management, and multiple extreme-outlier code rankings, this provider is a major, specialized Medicaid behavioral health operator within the state rather than a general outpatient clinic with modest volume.

Medicaid: Complete Services Breakdown

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

38 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…	172,230	$100	$17.7M
T2023	Targeted case management; per month	36,780	$290	$10.6M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	40,560	$90	$3.6M
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	22,350	$110	$2.5M
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…	72,480	$30	$2.4M
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…	45,990	$50	$2.4M
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…	28,580	$80	$2.3M
H0040	Assertive community treatment program, per diem	3,410	$620	$2.1M
H0031	Mental health assessment, by non-physician	19,420	$100	$1.9M
H0038	Self‑help/peer services, per 15 minutes	50,540	$30	$1.6M

Showing 1–10 of 38

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

Northern Kentucky Mental Health Mental Retardation Regional Board — 11 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	145	150	42,680	$190	$11.3M
T1040	Medicaid certified community behavioral health clinic services, per diem	4	10	303,880	$10	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	21	50	820	$190	$1.7M
H0040	Assertive community treatment program, per diem	4	10	1,230	$670	$1.4M
T2023	Targeted case management; per month	10	530	530	$300	$1.1M
H2021	Community-based wrap-around services, per 15 minutes	21	30	2,140	$130	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	18	20	3,310	$110	$923.7K
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…	71	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	21	320	3,070	$50	$678.3K
H2015	Comprehensive community support services, per 15 minutes	190	200	1,610	$80	$585.6K

Showing 1–10 of 38

Nearby Providers

Other providers in the same ZIP code as Northern Kentucky Mental Health Mental Retardation Regional Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gravity Diagnostics, LLC	KY	Clinical Medical Laboratory	$1.6M	$116.2M
Northern Kentucky Mental Health Mental Retardation Regional Board	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$68.3M
Nky Med, LLC	KY	Methadone Clinic	$298.9K	$24.4M
The Point Arc Of Northern Kentucky	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.6M
Children's Home Of Northern Kentucky	KY	Community/Behavioral Health Agency	$0	$7.9M
Summit Medical Group, Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.2M
Familycare Counseling Solutions LLC	KY	Professional Counselor	$0	$3.2M
Caretenders Vs Of Central Ky, LLC	KY	Home Health Agency	$0	$2.9M
City Of Covington	KY	Ambulance	$355.7K	$1.6M
William Metzger	KY	Optometrist	$194.5K	$43K

Northern Kentucky Mental Health Mental Retardation Regional Board — Billing Profile & Reimbursement Data

Sign up for Northern Kentucky Mental Health Mental Retardation Regional Board — Billing Profile & Reimbursement Data policy alerts

Northern Kentucky Mental Health Mental Retardation Regional Board — Billing Profile & Reimbursement Data

Sign up for Northern Kentucky Mental Health Mental Retardation Regional Board — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References