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.

Rise Mental Health And Wellness (NPI 1639730955)

Field	Value
Entity Type	Organization
Organization	Rise Mental Health And Wellness
Address	735 W Columbia Ave
City	Monticello
State	KY
ZIP	42633
Taxonomy	Mental Health Counselor
NPI Enumerated	June 26, 2019

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	5,180	$300	$1.5M
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…	17,610	$70	$1.2M
H2020	Therapeutic behavioral services, per diem	770	$220	$173.2K
H2015	Comprehensive community support services, per 15 minutes	2,800	$40	$98.1K
H0032	Mental health service plan development by non-physician	1,090	$60	$65.5K
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…	1,700	$40	$63K
99354	N/A	810	$60	$49.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	560	$70	$41.5K
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…	670	$50	$30.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	200	$50	$9.1K

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

Rise Mental Health And Wellness — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	129	180	1,320	$220	$1.9M
H2020	Therapeutic behavioral services, per diem	80	130	1,730	$180	$1.2M
T2023	Targeted case management; per month	79	530	530	$300	$1.1M
H2015	Comprehensive community support services, per 15 minutes	73	200	1,610	$80	$585.6K
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…	84	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…	202	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…	170	500	250	$60	$152.8K
99354	N/A	69	170	470	$50	$151K
H0032	Mental health service plan development by non-physician	83	380	160	$70	$107.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	170	680	130	$80	$62.9K

Nearby Providers

Other providers in the same ZIP code as Rise Mental Health And Wellness, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wayne County Hospital, Inc	KY	Critical Access Hospital	$0	$17.7M
Angela Tucker	KY	Mental Health Counselor	$0	$4.6M
Eric Johnson	KY	Diagnostic Radiology Physician	$78.6K	$3.1M
Lake Cumberland Pediatrics PLLC	KY	Rural Health Clinic/Center	$0	$3.1M
Horizon Adult Health Care LLC	KY	Occupational Therapist	$0	$3.1M
Faith Healthcare Inc	KY	Federally Qualified Health Center (FQHC)	$0	$3M
Phillips Pratt & Mcfarland Psc	KY	Family Medicine Physician	$0	$3M
Passages Of Kentucky, LLC	KY	Mental Health Counselor	$0	$2.9M
Foothills Academy, Inc.	KY	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$2.8M
Wayne County Fiscal Court	KY	Land Ambulance	$387.3K	$958.7K

Rise Mental Health And Wellness — Billing Profile & Reimbursement Data

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Rise Mental Health And Wellness — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References