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.

Addiction Recovery Care LLC (NPI 1730421553)

Field	Value
Entity Type	Organization
Organization	Addiction Recovery Care LLC
Address	125 S Main Cross St
City	Louisa
State	KY
ZIP	41230
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	March 19, 2013

Payer Source	Total Paid
Medicaid	$308.9M
Medicare	$0

Key Findings

ADDICTION RECOVERY CARE LLC reports no Medicare billing on file and $308.9M in lifetime Medicaid revenue, making Medicaid effectively its sole public-payer exposure on record. The absence of Medicare activity indicates this entity’s recorded operations are concentrated entirely within Medicaid-funded behavioral health and substance-abuse services rather than serving the traditional Medicare population.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes (H2027, H0011, H2034) together account for 59.7% of the provider’s total Medicaid revenue. Individually those codes generate $74.6M (24.2%), $55.9M (18.1%), and $53.8M (17.4%) respectively, indicating more than half of Medicaid receipts are driven by a small set of residential and group-based addiction-treatment services.

The code mix (H2027 – psychoeducational service per 15 minutes; H0011 – acute detoxification/residential inpatient; H2034 – halfway house services per diem) points to a vertically integrated substance-abuse treatment operation that spans intensive residential detox, transitional housing, and high-volume psychoeducational programming. Coupled with large volumes in H0035 (partial hospitalization) and H0015 (intensive outpatient), the profile suggests a continuum-of-care model serving high-throughput cohorts across inpatient, per-diem, and time-based psychosocial interventions.

Operational scale is signaled by very large claim counts on several codes: 414.7K claims for H2027 and 858.8K claims for H0038 (self-help/peer services). These claim volumes, alongside multi-hundred-thousand claim counts for H0011 (213.5K) and H2034 (242.2K), reflect a high-throughput service delivery footprint rather than a low-volume specialty practice.

Competitive standing in Kentucky is dominant for core addiction-treatment services: the provider ranks #1 of 220 for H2027 and #1 of 38 for H2034 (both 100th percentile and described as extreme outliers), and ranks #2 of 72 for H0011 (99th percentile, extreme outlier). These rank and percentile positions indicate the provider is a major statewide player and an outlier in volume for multiple Medicaid addiction-treatment codes.

Several additional codes reinforce the provider’s extensive state presence: H0035 ($27.6M, 8.9% of Medicaid revenue) and H0038 ($27.5M, 8.9%) are both ranked #1 in-state and labeled extreme outliers, while T2023 ($17.7M) and H0018 ($16M) also appear among top revenue drivers. This spread across per-visit, per-15-minute, and per-diem billing lines reflects diverse billing across residential, outpatient, and case-management services.

Because the operation is so heavily weighted to a handful of Medicaid codes (top 3 = 59.7%), the provider has concentrated revenue risk tied to state Medicaid policy, reimbursement rates, and program eligibility for addiction-treatment services. Any changes by the state to per-diem or time-based reimbursement for H2027, H0011, or H2034 would disproportionately affect this provider’s revenue base.

The NPI tenure (enumerated 2013-03-19 (~13 years ago)) indicates a long-standing presence in the Kentucky market; combined with the provider’s high statewide rankings and extreme-outlier volumes on multiple codes, this suggests an established organization with sustained, large-scale Medicaid billing activity in substance-abuse rehabilitation and related behavioral-health services.

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2027	Psychoeducational service, per 15 minutes	414,650	$180	$74.6M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	213,460	$260	$55.9M
H2034	Alcohol and/or drug abuse halfway house services, per diem	242,210	$220	$53.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	164,010	$170	$27.6M
H0038	Self‑help/peer services, per 15 minutes	858,830	$30	$27.5M
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…	227,840	$120	$26.7M
T2023	Targeted case management; per month	61,100	$290	$17.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	81,410	$200	$16M
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…	29,680	$80	$2.2M
S9485	Crisis intervention mental health services, per diem	4,840	$240	$1.2M

Showing 1–10 of 38

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

Addiction Recovery Care LLC — 11 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

38 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	2	70	7,180	$270	$6.8M
H2034	Alcohol and/or drug abuse halfway house services, per diem	1	40	3,120	$220	$3M
S9485	Crisis intervention mental health services, per diem	8	10	7,960	$280	$2.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	50	4,480	$220	$2.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1	60	3,270	$170	$2.2M
H2027	Psychoeducational service, per 15 minutes	1	220	970	$170	$1.1M
T2023	Targeted case management; per month	4	530	530	$300	$1.1M
H2036	Alcohol and/or other drug treatment program, per diem	4	10	930	$420	$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…	1	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	1	320	3,070	$50	$678.3K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Addiction Recovery Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Addiction Recovery Care LLC	KY	Substance Abuse Rehabilitation Facility	$0	$24.6M

Nearby Providers

Other providers in the same ZIP code as Addiction Recovery Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospital Of Louisa, Inc.	KY	General Acute Care Hospital	$0	$27.8M
Odyssey Inc	KY	Substance Abuse Rehabilitation Facility	$0	$25.4M
Pioneer Health Group LLC	KY	Addiction Medicine (Family Medicine) Physician	$0	$20.4M
Science Hill Family Care LLC Dba Pioneer Rural Health Clinic	KY	Rural Health Clinic/Center	$0	$8.4M
Three Rivers Medical Clinics Inc	KY	Internal Medicine Physician	$0	$7M
Joseph Skeens	KY	Diagnostic Radiology Physician	$40.2K	$222K
Brittany Tackett	KY	Family Nurse Practitioner	$99.2K	$0
James Carrico	KY	Diagnostic Radiology Physician	$97.7K	$0
Bonnie Hill	KY	Family Nurse Practitioner	$24.1K	$0

Addiction Recovery Care LLC — Billing Profile & Reimbursement Data

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Addiction Recovery Care 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

Related Providers

Nearby Providers

Frequently Asked Questions

References