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.

Central Kentucky Recovery Management (NPI 1619339736)

Field	Value
Entity Type	Organization
Organization	Central Kentucky Recovery Management
Address	1094 Us Highway 27 S Ste A
City	Cynthiana
State	KY
ZIP	41031
Taxonomy	Addiction Medicine (Family Medicine) Physician
NPI Enumerated	March 28, 2016

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	14,560	$50	$669.7K
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…	10,970	$60	$647.4K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	10,310	$50	$526K
H0001	Alcohol and/or drug assessment	8,690	$60	$521.4K
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…	10,370	$50	$518.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	7,510	$50	$390.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	19,240	$10	$173.2K
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…	3,690	$40	$140.2K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	18,520	$10	$129.7K
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…	2,330	$40	$95.6K

Showing 1–10 of 20

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

Central Kentucky Recovery Management — 8 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	208	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	206	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…	1,246	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…	184	2,460	580	$40	$245K
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…	129	600	600	$40	$207.8K
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…	24	500	250	$60	$152.8K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	4	220	340	$60	$114.8K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	7	170	180	$70	$100.6K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	161	280	370	$40	$68.3K
H0001	Alcohol and/or drug assessment	3	200	160	$60	$68.1K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Central Kentucky Recovery Management, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harrison Memorial Hospital	KY	General Acute Care Hospital	$0	$34.7M
My Turning Point, LLC	KY	Addiction Medicine (Psychiatry & Neurology) Physician	$0	$6.9M
Hospice Of The Bluegrass, Inc.	KY	Home Health Agency	$0	$4.6M
Harrison Memorial Hospital Inc	KY	Multi-Specialty Clinic/Center	$0	$4.5M
Harrison County Eldercare	KY	Adult Day Care Clinic/Center	$0	$3.7M
Arch Care Consultants, LLC	KY	Case Management Agency	$0	$3.3M
Deborah Spicer	KY	Clinical Social Worker	$990	$747.7K
Harrison County Ems	KY	Land Ambulance	$293.8K	$197.1K
Stephen Besson	KY	Adolescent Medicine (Internal Medicine) Physician	$141.5K	$0
Dwight Lewis	KY	Internal Medicine Physician	$61.8K	$76.7K

Central Kentucky Recovery Management — Billing Profile & Reimbursement Data

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Central Kentucky Recovery Management — Billing Profile & Reimbursement Data

Sign up for Central Kentucky Recovery Management — 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