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.

Phoenix Preferred Care, Inc. (NPI 1639290596)

Field	Value
Entity Type	Organization
Organization	Phoenix Preferred Care, Inc.
Address	201 E Mount Vernon St
City	Somerset
State	KY
ZIP	42501
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	12,160	$340	$4.2M
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…	37,870	$80	$2.9M
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…	6,180	$50	$321.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	31,160	$10	$249.2K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	4,250	$60	$233.7K
H0032	Mental health service plan development by non-physician	3,470	$70	$225.4K
99354	N/A	2,870	$50	$152.1K
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…	2,910	$40	$116.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	1,210	$60	$71.6K
H0031	Mental health assessment, by non-physician	1,050	$70	$71.4K

Showing 1–10 of 15

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

Phoenix Preferred Care, Inc. — 3 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	130	180	1,320	$220	$1.9M
T2023	Targeted case management; per month	37	530	530	$300	$1.1M
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…	88	140	460	$70	$475.2K
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…	36	1,270	760	$80	$447.2K
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…	148	600	600	$40	$207.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	28	90	250	$90	$199.4K
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…	35	500	250	$60	$152.8K
99354	N/A	35	170	470	$50	$151K
H0031	Mental health assessment, by non-physician	42	170	170	$70	$145.9K
H0032	Mental health service plan development by non-physician	37	380	160	$70	$107.8K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Phoenix Preferred Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Cumberland Reg Mhmr Board, Inc.	KY	Community/Behavioral Health Agency	$0	$140.8M
Brighter Futures Therapy Center, LLC	KY	Case Manager/Care Coordinator	$0	$38.3M
Lake Cumberland Regional Mhmr Board Outpatient	KY	Community/Behavioral Health Agency	$0	$31.2M
Broadening Horizons, Inc.	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$22.4M
Serenity Foundations, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.1M
Community Opportunities, Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.1M
Wecare Medical Homemakers, LLC D.b.a. Hope Of Ky	KY	Developmentally Disabled Services Day Training Agency	$0	$13.2M
Mindsight PLLC	KY	Professional Counselor	$0	$13M
Somerset Mental Health, Psc	KY	Community/Behavioral Health Agency	$0	$12.3M
Lake Cumberland Recovery Inc	KY	Substance Abuse Rehabilitation Facility	$0	$10.8M

Phoenix Preferred Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Phoenix Preferred Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Phoenix Preferred Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Phoenix Preferred Care, Inc. — 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