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.

Green River Regional Mental Health/mental Retardation Board, Inc. (NPI 1629134663)

Field	Value
Entity Type	Organization
Organization	Green River Regional Mental Health/mental Retardation Board, Inc.
Address	1100 Walnut St
City	Owensboro
State	KY
ZIP	42301
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	December 27, 2006

Payer Source	Total Paid
Medicaid	$98.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare revenue on file and total Medicaid revenue is $98.6M, so its entire billed footprint in the available data is Medicaid‑centric rather than split across Medicare and Medicaid. Analysts should treat Medicaid reimbursement policy and waiver program changes as primary drivers of financial impact for this entity.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 86.4% of total Medicaid revenue, led by 97535 ($48.5M, 49.2%), followed by T1019 ($24.9M, 25.2%) and T2022 ($11.8M, 12.0%). This concentration means a handful of service lines determine the vast majority of reported revenue.

The code mix indicates an operational focus on community‑based developmental and personal support services rather than medical procedures: 97535 (instructional/therapeutic services), T1019 (personal care services per 15 minutes), and T2022 (case management, per month) together drive the business model, supported by substantial volumes of home care training (S5108), financial management for self‑directed waivers (T2040), respite (T1005), and homemaker services (S5130). These codes are consistent with a Developmental Disabilities Clinic/Center delivering high‑volume, unitized hands‑on services and monthly care coordination.

Competitive standing is strong for several core services at the state level: 97535 ranks #6 of 305 providers in‑state (98th percentile; notably above typical state volume for this code), indicating the provider is a major statewide participant for that service. T1019 also ranks highly at #7 of 51 providers (88th percentile; notably above typical state volume), while T2022 ranks #6 of 81 providers (94th percentile; typical, unremarkable volume for this code), showing leadership in personal care and solid presence in monthly case management.

Although several secondary codes generate material activity, absolute revenue for some is modest: S5130 produces $624.2K (0.6% of Medicaid revenue) but ranks #1 of 4 providers in‑state (100th percentile; typical, unremarkable volume for this code), suggesting niche dominance among a very small set of providers for that service despite its limited contribution to total revenue. Other supporting codes such as S5108 ($7.9M, 8.0%) and T2040 ($3.4M, 3.5%) are present at typical in‑state volumes (S5108 rank #41 of 101, 60th percentile; T2040 rank #8 of 43, 83th percentile).

Operational scale is reflected in utilization intensity and unit payments: 97535 shows 461.9K claims with an $105 avg paid/claim, T1019 shows 296K claims with an $84 avg paid/claim, and T2022 shows 43.9K claims with a $269 avg paid/claim. This mix points to a high‑volume, unit‑based service delivery model where administrative throughput, workforce capacity, and billing operations are likely critical to sustaining revenue.

Concentration in a few high‑volume, low‑unit‑price services creates potential exposure to policy or utilization shifts: with 97535 alone accounting for $48.5M (49.2% of Medicaid revenue), any change in reimbursement rates, utilization review, or program eligibility tied to that service would materially affect the provider’s financial profile. Analysts should prioritize monitoring state policy changes affecting these specific codes and waiver rules tied to T1019 and T2022.

The provider has established tenure in the market, with its NPI enumerated on 2006-12-27 (~20 years ago), indicating a long‑standing operational presence in Owensboro, KY and likely embedded relationships with state Medicaid and local community supports that underpin its high volumes in personal care and case management services.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	461,930	$110	$48.5M
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…	296,040	$80	$24.9M
T2022	Case management, per month	43,870	$270	$11.8M
S5108	Home care training to home care client, per 15 minutes	84,100	$90	$7.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	34,470	$100	$3.4M
T1005	Respite care services, up to 15 minutes	20,500	$70	$1.5M
S5130	Homemaker service, nos; per 15 minutes	11,350	$60	$624.2K

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

Green River Regional Mental Health/mental Retardation Board, Inc. — 2 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5108	Home care training to home care client, per 15 minutes	41	100	43,820	$140	$16.6M
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…	7	50	13,600	$140	$11.1M
T2022	Case management, per month	6	80	7,120	$290	$4.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	6	310	830	$120	$3.7M
T2040	Financial management, self-directed, waiver; per 15 minutes	8	40	14,910	$160	$3.5M
T1005	Respite care services, up to 15 minutes	16	80	2,880	$70	$799.2K
S5130	Homemaker service, nos; per 15 minutes	1	10	5,600	$50	$316.7K

Nearby Providers

Other providers in the same ZIP code as Green River Regional Mental Health/mental Retardation Board, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green River Area Development District	KY	Supports Brokerage Agency	$0	$92.9M
Rivervalley Behavioral Health Inc	KY	Community Health Clinic/Center	$0	$28.6M
Behavioral Healthcare Services, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$18.1M
Bridges Of Kentucky, Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16M
Allied Adult Day Care, LLC	KY	Adult Day Care Clinic/Center	$0	$14M
Owensboro Health Medical Group, Inc	KY	Family Medicine Physician	$0	$10.6M
Green River Regional Mental Health/mental Retardation Board, Inc.	KY	Adult Day Care Clinic/Center	$0	$8.7M
To The Max Behavior Therapy, LLC	KY	Behavior Technician	$0	$6.9M
Rivervalley Behavioral Health Inc	KY	Psychiatric Hospital	$0	$6.6M
Behavior Associates, LLC	KY	Behavior Analyst	$0	$6M

Green River Regional Mental Health/mental Retardation Board, Inc. — Billing Profile & Reimbursement Data

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Green River Regional Mental Health/mental Retardation Board, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References