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.

Emerald Therapy Center, LLC (NPI 1619340387)

Field	Value
Entity Type	Organization
Organization	Emerald Therapy Center, LLC
Address	5050 Village Square Dr Ste B
City	Paducah
State	KY
ZIP	42001
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 3, 2015

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 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…	21,220	$70	$1.5M
H0031	Mental health assessment, by non-physician	18,520	$70	$1.2M
H2020	Therapeutic behavioral services, per diem	5,760	$210	$1.2M
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…	12,910	$70	$864.8K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7,760	$90	$713.8K
H0032	Mental health service plan development by non-physician	10,190	$70	$703K
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…	14,550	$40	$611.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	13,520	$40	$513.8K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4,830	$90	$410.4K
T2023	Targeted case management; per month	1,070	$310	$328.9K

Showing 1–10 of 36

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

Emerald Therapy Center, LLC — 3 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	63	70	1,650	$100	$2M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	18	50	2,830	$90	$1.4M
H2020	Therapeutic behavioral services, per diem	33	130	1,730	$180	$1.2M
T2023	Targeted case management; per month	209	530	530	$300	$1.1M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	21	80	990	$60	$912.2K
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…	99	230	1,750	$110	$793.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	75	340	2,700	$40	$673.3K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	96	140	2,000	$60	$639.8K
H2015	Comprehensive community support services, per 15 minutes	180	200	1,610	$80	$585.6K
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…	71	140	460	$70	$475.2K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shelly Baer	KY	Clinical Social Worker	$105.8K	$9.8M
Laurie Ballew	KY	Psychiatry Physician	$120.2K	$0
Ronald Kelley	KY	Psychiatry Physician	$13.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Comprehensive Services, Inc	KY	Rehabilitation Hospital	$0	$47.8M
Western Ky Regional Mhmr Board Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.3M
Western Ky Regional Mhmr Board Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.1M
Easter Seals West Kentucky, Inc.	KY	Behavior Analyst	$0	$17.8M
Easter Seals West Kentucky	KY	Developmentally Disabled Services Day Training Agency	$0	$8.1M
Bhg Xxxiii, LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$124.1K	$4.8M
Arcare	KY	Federally Qualified Health Center (FQHC)	$0	$4.4M
Legacy Oxygen And Home Care Equipment LLC	KY	Oxygen Equipment & Supplies (DME)	$0	$4.1M
Mercy Regional Emergency Medical System LLC	KY	Land Ambulance	$1.4M	$2.2M
Christopher Phillips	KY	Internal Medicine Physician	$2.8M	$0

Emerald Therapy Center, LLC — Billing Profile & Reimbursement Data

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Emerald Therapy Center, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References