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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEaster Seals West Kentucky, Inc.
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    Easter Seals West Kentucky, Inc. — Billing Profile & Reimbursement Data

    NPI 1720123870 · Paducah, KY · Behavior Analyst

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    Easter Seals West Kentucky, Inc. is a behavior analyst provider located in Paducah, Kentucky. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEaster Seals West Kentucky, Inc.
    Address619 N 30th St
    CityPaducah
    StateKY
    ZIP42001
    TaxonomyBehavior Analyst
    NPI EnumeratedFebruary 20, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9128Speech therapy, in the home, per diem60,880$80$4.7M
    S9129Occupational therapy, in the home, per diem44,020$80$3.5M
    T1026Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour15,150$230$3.4M
    T1025Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem13,960$240$3.4M
    S9131Physical therapy; in the home, per diem21,820$80$1.8M
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…6,690$70$461.6K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.4,700$60$300.7K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,820$60$111.1K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.610$80$45.8K
    97166The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…390$70$27.4K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1025Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem41018,050$240$15.7M
    T1026Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour31015,150$190$9.9M
    S9128Speech therapy, in the home, per diem4308,300$70$1.7M
    S9129Occupational therapy, in the home, per diem3307,220$70$1.1M
    S9131Physical therapy; in the home, per diem3203,100$70$480.2K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…953402,730$40$328.2K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.1275401,500$50$235.7K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…3967801,950$30$157.8K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…86160160$40$26.9K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.137060$90$22.7K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Easter Seals West Kentucky, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Comprehensive Services, IncKYRehabilitation Hospital$0$47.8M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$39.3M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M
    Shelly BaerKYClinical Social Worker$105.8K$9.8M
    Emerald Therapy Center, LLCKYCommunity/Behavioral Health Agency$0$9.8M
    Easter Seals West KentuckyKYDevelopmentally Disabled Services Day Training Agency$0$8.1M
    Bhg Xxxiii, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$124.1K$4.8M
    ArcareKYFederally Qualified Health Center (FQHC)$0$4.4M
    Legacy Oxygen And Home Care Equipment LLCKYOxygen Equipment & Supplies (DME)$0$4.1M
    Mercy Regional Emergency Medical System LLCKYLand Ambulance$1.4M$2.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kentucky Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Easter Seals West Kentucky, Inc. — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky