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.

Lifeskills, Inc. (NPI 1669401816)

Field	Value
Entity Type	Organization
Organization	Lifeskills, Inc.
Address	380 Suwannee Trail St
City	Bowling Green
State	KY
ZIP	42103
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$81.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scale: LIFESKILLS, INC. reports $81.9M in lifetime Medicaid revenue and has no Medicare billing on file, so its reimbursement profile and regulatory exposure are concentrated in Medicaid programs rather than a mixed Medicare/Medicaid book of business. Analysts should treat Medicaid policy, state fee schedules, and Medicaid managed‑care contracting as the primary drivers of revenue performance.

Revenue is highly concentrated in a small set of codes: the precomputed top 3 Medicaid codes (H0011, T2023, 90837) account for 48.5% of the provider’s total Medicaid revenue. Those three codes alone represent a near‑majority of the $81.9M Medicaid footprint, signaling dependence on a few large service lines for overall financial performance.

The top revenue drivers indicate a mixed model of residential, case management, and psychotherapy services: H0011 (residential acute detoxification) generated $16.9M (20.8% of Medicaid revenue) with 65.3K claims, T2023 (targeted case management; per month) generated $15.6M (19.2%) with 51.3K claims, and 90837 (long psychotherapy sessions) generated $7M (8.6%) with 75.6K claims. Together these volumes and code types suggest the organization operates inpatient/residential detox capacity, an extensive targeted case management program, and a high‑volume outpatient psychotherapy operation.

Competitive standing by code is mixed but strong in several state programs: T2023 is an extreme outlier statewide (rank #7 of 525 providers, 99th percentile) indicating LIFESKILLS is a major statewide provider of targeted case management; S9485 crisis per diem revenue of $5.7M ranks #1 of 10 providers (100th percentile), showing market dominance in crisis intervention per diem services. Other codes also show above‑typical presence — 90837 ranks #15 of 1266 (99th percentile) and 90791 ranks #3 of 682 (100th percentile) — confirming the provider is a leading in‑state player for multiple behavioral health service lines.

The provider shows extreme outpatient psychotherapy throughput alongside specialized services: very high claim counts for psychotherapy codes (90832 at 123.1K claims, 90834 at 47.9K claims, 90837 at 75.6K claims, and group therapy 90853 at 53.9K claims) indicate large‑scale behavioral health outpatient capacity and ongoing clinical encounter volume that complements its residential and case management activities. This mix points to both high patient volume and a diversified clinical portfolio within behavioral health care.

Multiple codes are flagged as statistical outliers or notably above typical state volume, which highlights areas of competitive concentration and operational scale: T2023 (99th percentile, extreme outlier), 90832/90834/90837 (mostly 99th percentile, extreme or notably above typical), 90791 (100th percentile, extreme), 99442 (rank #1 of 275, 100th percentile, extreme outlier) and S9485 (100th percentile). These labels indicate the provider is unusually large for specific services relative to in‑state peers and may warrant targeted benchmarking or audit of program utilization and contracts.

There is operational breadth across crisis, residential, and community supports beyond the top three codes: notable revenue and rank placements for H0018 short‑term residential ($3.8M, 83rd percentile), H2020 therapeutic behavioral services ($3.5M, 93rd percentile), H2011 crisis intervention per 15 minutes ($801.8K, 95th percentile), H0040 assertive community treatment ($812K, 54th percentile), and H2021 community‑based wrap‑around services ($1.4M, 88th percentile). This range of per‑diem and per‑15‑minute codes shows the organization provides a continuum from acute/residential care through community‑based supports.

The provider has long tenure in national enrollment, with an NPI enumerated on 2006-07-01 (~20 years ago), indicating sustained operation and likely established relationships with state Medicaid programs; that historical presence combined with the concentrated revenue mix should factor into contract negotiations, network placement decisions, and competitive assessments.

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	65,310	$260	$16.9M
T2023	Targeted case management; per month	51,260	$300	$15.6M
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…	75,580	$90	$7M
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…	123,140	$50	$6M
S9485	Crisis intervention mental health services, per diem	20,050	$290	$5.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	23,250	$160	$3.8M
H2020	Therapeutic behavioral services, per diem	19,770	$180	$3.5M
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…	47,900	$70	$3.4M
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…	64,240	$50	$2.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	25,020	$100	$2.5M

Showing 1–10 of 37

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

Lifeskills, Inc. — 13 of 25 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	11	70	7,180	$270	$6.8M
S9485	Crisis intervention mental health services, per diem	1	10	7,960	$280	$2.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	9	50	4,480	$220	$2.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	163	180	1,320	$220	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	13	50	820	$190	$1.7M
H0040	Assertive community treatment program, per diem	7	10	1,230	$670	$1.4M
H2020	Therapeutic behavioral services, per diem	10	130	1,730	$180	$1.2M
T2023	Targeted case management; per month	7	530	530	$300	$1.1M
H2021	Community-based wrap-around services, per 15 minutes	4	30	2,140	$130	$1M
H0038	Self‑help/peer services, per 15 minutes	35	320	3,070	$50	$678.3K

Showing 1–10 of 37

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lifeskills, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeskills, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$87.9M
Cindy Petzke	IN	Psychiatric/Mental Health Nurse Practitioner	$4.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeskills, Inc	KY	Community/Behavioral Health Agency	$0	$168.8M
Uhs Of Bowling Green LLC	KY	Psychiatric Hospital	$0	$41.2M
Acculab, LLC	KY	Clinical Medical Laboratory	$699.2K	$21.1M
Interventional Pain Specialists Of Bowling Green Plc	KY	Pain Medicine (Anesthesiology) Physician	$0	$10.6M
Pediatric Dentistry Of Southern Kentucky	KY	Pediatric Dentistry	$0	$9M
Growing Minds Learning Center, LLC	KY	Behavior Analyst	$0	$8.9M
Bowling Green Warren County Primary Care Center, Inc.	KY	Federally Qualified Health Center (FQHC)	$0	$8.5M
Amanda Ashley	KY	Pediatric Dentistry	$0	$8.4M
Lucasacare	KY	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Lucasacarebg, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$6.7M

Lifeskills, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References