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.

Wellspring Inc (NPI 1649487158)

Field	Value
Entity Type	Organization
Organization	Wellspring Inc
Address	225 W Breckinridge St
City	Louisville
State	KY
ZIP	40203
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 16, 2007

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9485	Crisis intervention mental health services, per diem	15,930	$290	$4.7M
T2023	Targeted case management; per month	9,930	$300	$3M
H0040	Assertive community treatment program, per diem	1,940	$650	$1.3M
H0038	Self‑help/peer services, per 15 minutes	23,930	$20	$550.3K
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…	5,030	$50	$236.5K
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…	1,530	$70	$99.6K
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…	3,010	$30	$99.3K
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…	1,670	$40	$65K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	890	$70	$61.3K
H0032	Mental health service plan development by non-physician	840	$60	$51.1K

Showing 1–10 of 14

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

Wellspring Inc — 0 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9485	Crisis intervention mental health services, per diem	2	10	7,960	$280	$2.5M
H0040	Assertive community treatment program, per diem	6	10	1,230	$670	$1.4M
T2023	Targeted case management; per month	43	530	530	$300	$1.1M
H0038	Self‑help/peer services, per 15 minutes	47	320	3,070	$50	$678.3K
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…	472	1,270	760	$80	$447.2K
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…	1,406	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…	403	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…	144	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…	164	500	250	$60	$152.8K
H0032	Mental health service plan development by non-physician	92	380	160	$70	$107.8K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgehaven, Inc.	KY	Adult Mental Health Clinic/Center	$0	$18.3M
Louisville Integrated Care	KY	Addiction Medicine (Family Medicine) Physician	$0	$16.8M
Associates In Behavioral Health Psc	KY	Psychiatry Physician	$0	$9.6M
Cleanse Clinic, PLLC	KY	Addiction Psychiatry Physician	$0	$6.9M
Bell Tower Recovery Services LLC	KY	Addiction (Substance Use Disorder) Counselor	$0	$6M
National Minority Family Development Institute Inc	KY	Multi-Specialty Clinic/Center	$0	$4.3M
Dermatopathology Alliance Of Kentucky PLLC	KY	Dermatopathology (Pathology) Physician	$462.3K	$97.6K
Jacob Harvey	KY	Family Nurse Practitioner	$25.3K	$410.3K
Ginius Pradhan	KY	Nephrology Physician	$222.9K	$0
Asad Ismail	KY	Addiction Medicine (Psychiatry & Neurology) Physician	$112K	$0

Wellspring Inc — Billing Profile & Reimbursement Data

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Wellspring Inc — 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