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 Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

Summit Bhc Henryville, LLC (NPI 1679035232)

Field	Value
Entity Type	Organization
Organization	Summit Bhc Henryville, LLC
Address	1400 E Crossing Blvd
City	Terre Haute
State	IN
ZIP	47802
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	April 3, 2019

Payer Source	Total Paid
Medicaid	$90.6M
Medicare	$0

Key Findings

SUMMIT BHC HENRYVILLE, LLC appears to operate essentially as a Medicaid-focused residential substance abuse treatment provider: its taxonomy is Substance Abuse Rehabilitation Facility and 99.8% of its reported Medicaid revenue is tied to H0010 (sub-acute detoxification/residential addiction program inpatient), indicating the core service is inpatient residential detoxification. The presence of a much smaller H0015 line for intensive outpatient suggests a secondary outpatient/intensive program but at a tiny scale relative to residential services.

Revenue concentration is extremely high on a single code: H0010 accounts for $90.5M and 99.8% of this provider’s total Medicaid revenue, with H0015 contributing only $179K (0.2%). The precomputed top-3 share of 100.0% confirms virtually all Medicaid income is captured by these two procedure lines, reflecting a single-service-line dependence.

This provider is effectively single-payer in practice: there is no Medicare billing on file while Medicaid revenue totals $90.6M, so Medicaid is the sole recorded source of public-payer income and drives the provider’s entire reported public reimbursement footprint. Analysts should treat this entity as a Medicaid-centric operator rather than a mixed Medicare/Medicaid provider.

Competitively within the state, SUMMIT BHC HENRYVILLE is a dominant provider for residential detoxification: its H0010 volume places it #1 of 57 providers in-state and at the 100th percentile, described as an extreme outlier and far above typical state volume for this code. This ranking indicates a market-leading position in inpatient sub-acute detox services in Indiana.

The provider’s outpatient/intensive-service footprint is modest by comparison: H0015 ranks #24 of 69 providers in-state and sits at the 66th percentile, a typical, unremarkable level of activity for that code. This contrast between an extreme outlier residential program and a middling outpatient presence suggests the organization focuses operational capacity and reimbursement capture on inpatient detox.

Tenure and administrative stability: the NPI was enumerated on 2019-04-03 (~7 years ago), indicating the provider has been active under this identifier for multiple years, long enough to establish a concentrated service line and achieve outsized in-state volume for H0010. This tenure supports the view that the concentration on residential detoxification is intentional and persistent rather than a transient spike.

Given the concentration risk, payers and analysts should note business vulnerability to policy or rate changes affecting H0010: because $90.5M (99.8% of Medicaid revenue) is tied to a single inpatient detox code, changes to authorization, reimbursement rates, or program eligibility for H0010 would disproportionately affect the provider’s financials and capacity.

Operational implications for network strategy: as the top in-state provider for H0010, SUMMIT BHC HENRYVILLE could be a key contracting partner for Medicaid programs seeking inpatient detox capacity in the region, but its narrow service mix means payers seeking diversified continuum-of-care partners should look elsewhere or pair it with providers offering more extensive outpatient or recovery-support services.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	217,990	$420	$90.5M
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…	2,520	$70	$179K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Summit Bhc Henryville, LLC — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1	60	23,940	$380	$12.8M
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…	24	70	1,520	$100	$429.2K

Nearby Providers

Other providers in the same ZIP code as Summit Bhc Henryville, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ambulance Management Services Ltd	IN	Land Ambulance	$2.9M	$14.7M
Terre Haute Regional Hospital, L.P.	IN	General Acute Care Hospital	$0	$16.7M
Gibault, Inc.	IN	Psychiatric Residential Treatment Facility	$0	$13.5M
Mosaic	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.2M
Providence Medical Group LLC	IN	Multi-Specialty Clinic/Center	$0	$7.3M
City Optical Co., Inc.	IN	Optometrist	$0	$5.9M
Happiness Bag Players, Incorporated	IN	Developmentally Disabled Services Day Training Agency	$0	$5.8M
Wabash Valley Children's Dentistry	IN	Dentist	$0	$5.7M
City Of Terre Haute	IN	Land Ambulance	$669K	$4.4M
Terre Haute Pulmonary & Pediatric Clinic, LLC	IN	Critical Care Medicine (Internal Medicine) Physician	$0	$4.8M

Summit Bhc Henryville, LLC — Billing Profile & Reimbursement Data

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Summit Bhc Henryville, LLC — 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

Nearby Providers

Frequently Asked Questions

References