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.

Journey To Independent Living (NPI 1588960181)

Field	Value
Entity Type	Organization
Organization	Journey To Independent Living
Address	584 Skinhouse Branch Rd
City	Greensburg
State	KY
ZIP	42743
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 31, 2011

Payer Source	Total Paid
Medicaid	$9.2M
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
H0004	Behavioral health counseling and therapy, per 15 minutes	16,340	$260	$4.2M
T2016	Habilitation, residential, waiver; per diem	10,950	$220	$2.4M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	10,270	$180	$1.8M
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…	2,090	$190	$386.3K
T2021	Day habilitation, waiver; per 15 minutes	5,540	$60	$343.5K

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

Journey To Independent Living — 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	124	150	42,680	$190	$11.3M
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…	42	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.	53	310	830	$120	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	24	180	1,320	$220	$1.9M
T2021	Day habilitation, waiver; per 15 minutes	116	150	16,130	$70	$1.7M

Nearby Providers

Other providers in the same ZIP code as Journey To Independent Living, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jane Todd Crawford Memorial Hospital Inc.	KY	Critical Access Hospital	$0	$7.7M
Adult Day Health, Inc.	KY	Adult Day Care Clinic/Center	$0	$3.8M
Green County Ambulance Service Taxing District	KY	Land Ambulance	$325K	$481.3K
Shane Desimone	KY	Diagnostic Radiology Physician	$5.6K	$0

Journey To Independent Living — Billing Profile & Reimbursement Data

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Journey To Independent Living — 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