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.

Define You Counseling Services I Define Me (NPI 1710595905)

Field	Value
Entity Type	Organization
Organization	Define You Counseling Services I Define Me
Address	1426 S 28th St
City	Louisville
State	KY
ZIP	40211
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 14, 2020

Payer Source	Total Paid
Medicaid	$4.5M
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
H0038	Self‑help/peer services, per 15 minutes	13,950	$120	$1.7M
H2020	Therapeutic behavioral services, per diem	5,020	$210	$1.1M
H2015	Comprehensive community support services, per 15 minutes	9,280	$90	$788.8K
H2027	Psychoeducational service, per 15 minutes	3,540	$150	$523.3K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	6,390	$50	$300.2K
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…	610	$70	$44.1K
99355	N/A	530	$50	$25.3K
99354	N/A	290	$60	$18.4K
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…	270	$40	$10.3K
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…	20	$10	$210

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

Define You Counseling Services I Define Me — 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
H2020	Therapeutic behavioral services, per diem	36	130	1,730	$180	$1.2M
H2027	Psychoeducational service, per 15 minutes	59	220	970	$170	$1.1M
H0038	Self‑help/peer services, per 15 minutes	81	320	3,070	$50	$678.3K
H2015	Comprehensive community support services, per 15 minutes	36	200	1,610	$80	$585.6K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	22	140	460	$70	$475.2K
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…	698	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…	384	600	600	$40	$207.8K
99354	N/A	101	170	470	$50	$151K
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…	285	290	670	$20	$103.8K
99355	N/A	12	40	170	$70	$90.8K

Nearby Providers

Other providers in the same ZIP code as Define You Counseling Services I Define Me, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West End Adult Day Healthcare LLC	KY	Adult Day Care Clinic/Center	$0	$9.8M
Park Duvalle Community Health Center, Inc.	KY	Federally Qualified Health Center (FQHC)	$0	$8.2M
Orchid House, Inc.	KY	Pediatric Skilled Nursing Facility	$0	$6.6M
Barbara Martin	KY	Clinical Social Worker	$14.7K	$0
Miasha Crutchfield	KY	Family Nurse Practitioner	$4.6K	$0

Define You Counseling Services I Define Me — Billing Profile & Reimbursement Data

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Define You Counseling Services I Define Me — Billing Profile & Reimbursement Data

Sign up for Define You Counseling Services I Define Me — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References