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.

Familycare Counseling Center (NPI 1669888384)

Field	Value
Entity Type	Organization
Organization	Familycare Counseling Center
Address	215 Bluegrass Rd
City	Franklin
State	KY
ZIP	42134
Taxonomy	Mental Health Counselor
NPI Enumerated	July 2, 2014

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	41,000	$70	$2.8M
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…	21,440	$70	$1.5M
T2023	Targeted case management; per month	4,210	$270	$1.1M
H2027	Psychoeducational service, per 15 minutes	6,320	$130	$827.8K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	5,640	$110	$625.8K
H2015	Comprehensive community support services, per 15 minutes	6,270	$60	$388.7K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	3,210	$50	$160.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,760	$80	$142.2K
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…	3,460	$40	$131.6K
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…	1,840	$50	$88.4K

Showing 1–10 of 13

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

Familycare Counseling Center — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2027	Psychoeducational service, per 15 minutes	39	220	970	$170	$1.1M
T2023	Targeted case management; per month	94	530	530	$300	$1.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	57	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	28	320	3,070	$50	$678.3K
H2015	Comprehensive community support services, per 15 minutes	44	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…	67	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…	132	600	600	$40	$207.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	13	90	250	$90	$199.4K
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…	96	500	250	$60	$152.8K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	132	220	340	$60	$114.8K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Familycare Counseling Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fast Pace Kentucky PLLC	KY	Family Nurse Practitioner	$0	$23.2M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$13.2M
Franklin Simpson County Ambulance Service	KY	Land Ambulance	$328.1K	$613.8K
Robert Wesley	KY	Family Medicine Physician	$335.5K	$0
James Allred	KY	Dermatology Physician	$309.8K	$0
John Gardner	KY	Pain Medicine (Anesthesiology) Physician	$266.3K	$0
John Adams	KY	Family Medicine Physician	$247.2K	$5.8K
Brian Macy	KY	Sports Medicine (Family Medicine) Physician	$148.9K	$0
David Napier	KY	Family Medicine Physician	$141.6K	$0
Ayme Rowland	KY	Family Nurse Practitioner	$129.1K	$0

Familycare Counseling Center — Billing Profile & Reimbursement Data

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Familycare Counseling Center — 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