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.

Modern Care LLC (NPI 1659673655)

Field	Value
Entity Type	Organization
Organization	Modern Care LLC
Address	104 Nancy Cox Dr
City	Campbellsville
State	KY
ZIP	42718
Taxonomy	Adult Care Home Facility
NPI Enumerated	November 23, 2010

Payer Source	Total Paid
Medicaid	$29.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	74,260	$240	$18M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	16,820	$240	$4.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	10,860	$280	$3M
T2021	Day habilitation, waiver; per 15 minutes	23,170	$80	$1.9M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	6,400	$220	$1.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	7,550	$110	$860.8K
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	3,040	$70	$209.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	4,560	$30	$146K
H0004	Behavioral health counseling and therapy, per 15 minutes	360	$250	$90.3K

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

Modern Care LLC — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	37	150	42,680	$190	$11.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	120	180	1,320	$220	$1.9M
T2021	Day habilitation, waiver; per 15 minutes	55	150	16,130	$70	$1.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	6	20	3,310	$110	$923.7K
97537	In this procedure, the provider works one on one with a patient to provide community work reintegration training. The training helps the injured or ill patient to return to employment and the…	5	10	4,780	$50	$348.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	60	340	2,730	$40	$328.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	33	540	1,500	$50	$235.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	186	780	1,950	$30	$157.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	46	290	670	$20	$103.8K

Nearby Providers

Other providers in the same ZIP code as Modern Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-generations LLC Central Ky	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$36.1M
Taylor County Hospital District Health Facilities Corporation	KY	General Acute Care Hospital	$0	$36.1M
The Kid Spot Center	KY	Occupational Therapist	$0	$27.4M
Phoenix Way, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$13.6M
Reach For The Stars Case Management	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.4M
Air Evac Ems Inc	KY	Air Ambulance	$987.5K	$1.8M
City Of Campbellsville Ky	KY	Land Ambulance	$516.8K	$805.8K
Peter Hardin	KY	Radiation Oncology Physician	$694K	$0
Matthew Feltner	KY	Podiatrist	$633.9K	$0
Mark Risen	KY	Primary Podiatric Medicine Podiatrist	$170K	$444.7K

Modern Care LLC — Billing Profile & Reimbursement Data

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Modern Care 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

Nearby Providers

Frequently Asked Questions

References