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.

Brightview LLC (NPI 1609462472)

Field	Value
Entity Type	Organization
Organization	Brightview LLC
Address	506 N Main St
City	Nicholasville
State	KY
ZIP	40356
Taxonomy	Methadone Clinic
NPI Enumerated	December 16, 2020

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0047	Alcohol and/or other drug abuse services, not otherwise specified	40,080	$100	$4M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	47,870	$60	$3.1M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	18,490	$100	$1.8M
T2023	Targeted case management; per month	6,680	$260	$1.7M
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	10,050	$50	$482.2K
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…	4,600	$40	$193K
H0038	Self‑help/peer services, per 15 minutes	5,270	$20	$79K
H0001	Alcohol and/or drug assessment	1,690	$40	$62.5K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	9,200	$10	$55.2K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	8,980	$10	$44.9K

Showing 1–10 of 13

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

Brightview LLC — 4 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	27	30	43,760	$80	$5.2M
H0047	Alcohol and/or other drug abuse services, not otherwise specified	1	10	2,090	$180	$1.3M
T2023	Targeted case management; per month	58	530	530	$300	$1.1M
H0038	Self‑help/peer services, per 15 minutes	128	320	3,070	$50	$678.3K
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…	897	3,340	1,020	$30	$296K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	39	2,460	580	$40	$245K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	26	40	2,770	$20	$126.5K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	9	220	340	$60	$114.8K
H0001	Alcohol and/or drug assessment	27	200	160	$60	$68.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	344	1,020	120	$70	$62K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Brightview LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brightview, LLC	OH	Addiction Medicine (Internal Medicine) Physician	$2.3M	$501.1M
Brightview LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$32M
Lisa Stull	VA	Physician Assistant	$24.8K	$0
Hope Robb	OH	Family Nurse Practitioner	$20.6K	$0
James Guenther	OH	Addiction Medicine (Internal Medicine) Physician	$13.4K	$0
Morgan Hoover	OH	Family Nurse Practitioner	$12.7K	$0
Deidra Combs	OH	Physician Assistant	$9.4K	$0
Jamie Brumfield	KY	Family Nurse Practitioner	$7.8K	$0
Brenda Alexander-o'neil	OH	Psychiatric/Mental Health Nurse Practitioner	$5.8K	$0
Jacqueline Adkins-harris	VA	Family Nurse Practitioner	$4.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dx Solutions, LLC	KY	Clinical Medical Laboratory	$1.9M	$24.9M
Dungarvin Kentucky, LLC - Lexington	KY	Developmentally Disabled Services Day Training Agency	$0	$23.7M
Marshall Pediatric Therapy, LLC	KY	Pediatric Occupational Therapist	$0	$15.9M
Community Alternatives Kentucky, Inc.	KY	Case Management Agency	$0	$13.8M
Lord's Legacy Life Ministries, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$13.8M
Revive Ministries Inc	KY	Addiction (Substance Use Disorder) Counselor	$0	$9M
Dennis Griffith	KY	Developmentally Disabled Services Day Training Agency	$0	$8.6M
Revive Ministries Inc	KY	Substance Abuse Rehabilitation Facility	$0	$5.9M
Full Circle Supports, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$5.2M
Eric Huffman	KY	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.9M

Brightview LLC — Billing Profile & Reimbursement Data

Sign up for Brightview LLC — Billing Profile & Reimbursement Data policy alerts

Brightview LLC — Billing Profile & Reimbursement Data

Sign up for Brightview LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References