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.

Kentucky Recovery Limited Liability Company (NPI 1669068193)

Field	Value
Entity Type	Organization
Organization	Kentucky Recovery Limited Liability Company
Address	501 Baxter Ave
City	Louisville
State	KY
ZIP	40204
Taxonomy	Methadone Clinic
NPI Enumerated	December 18, 2020

Payer Source	Total Paid
Medicaid	$2.8M
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
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	28,070	$90	$2.4M
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…	4,570	$40	$164.4K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	1,090	$120	$125.7K
H0001	Alcohol and/or drug assessment	850	$40	$31.3K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	450	$20	$6.7K
99203	The provider sees a new 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 provider…	330	$10	$4.3K
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…	70	$60	$4.1K
99204	The provider sees a new 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 provider…	70	$50	$3.1K
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	60	$20	$1.3K
H0038	Self‑help/peer services, per 15 minutes	380	$1	$380

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

Kentucky Recovery Limited Liability Company — 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
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	24	30	43,760	$80	$5.2M
H0038	Self‑help/peer services, per 15 minutes	242	320	3,070	$50	$678.3K
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…	900	3,340	1,020	$30	$296K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	4	30	400	$170	$294.2K
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…	1,998	2,460	580	$40	$245K
H0001	Alcohol and/or drug assessment	41	200	160	$60	$68.1K
99204	The provider sees a new 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 provider…	647	1,020	120	$70	$62K
99203	The provider sees a new 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 provider…	447	1,400	130	$50	$45.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	119	590	80	$40	$13K
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	7	10	290	$1	$6.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kentucky Recovery Limited Liability Company, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asad Ismail	KY	Addiction Medicine (Psychiatry & Neurology) Physician	$112K	$0

Nearby Providers

Other providers in the same ZIP code as Kentucky Recovery Limited Liability Company, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisville Jefferson County Metro Government	KY	Land Ambulance	$2.1M	$12M
Beverly M Gaines, Md & Associates, Psc	KY	Pediatrics Physician	$0	$3.6M
Jignesh Desai	KY	Internal Medicine Physician	$361.7K	$0
Walgreen Co	KY	Pharmacy	$131.4K	$170
Ruth Gay Lawton	KY	Gerontology Nurse Practitioner	$83.8K	$0
Sylvia Cole	KY	Internal Medicine Physician	$61.4K	$0
Joshua Bentley	KY	Family Medicine Physician	$52.8K	$0
Priscilla Villaroman	KY	Internal Medicine Physician	$52K	$0
Mark Siefring	KY	Internal Medicine Physician	$50.8K	$0
Shastine Sharp	KY	Family Medicine Physician	$48.3K	$0

Kentucky Recovery Limited Liability Company — Billing Profile & Reimbursement Data

Sign up for Kentucky Recovery Limited Liability Company — Billing Profile & Reimbursement Data policy alerts

Kentucky Recovery Limited Liability Company — Billing Profile & Reimbursement Data

Sign up for Kentucky Recovery Limited Liability Company — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References