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

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

Keystone Continuum, LLC (NPI 1750304044)

Field	Value
Entity Type	Organization
Organization	Keystone Continuum, LLC
Address	332 Hospital Rd
City	Mountain City
State	TN
ZIP	37683
Taxonomy	Psychiatric Residential Treatment Facility
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicaid	$123.7M
Medicare	$0

Key Findings

KEYSTONE CONTINUUM, LLC is registered as a Psychiatric Residential Treatment Facility and has an NPI enumerated on 2006-07-26 (~20 years ago). Its billing footprint is effectively single-payer: there is no Medicare billing on file and lifetime Medicaid revenue is $123.7M, indicating the organization’s commercial/Medicare exposure is negligible in this dataset.

Revenue is extremely concentrated in a small number of per-diem residential codes: the top 3 Medicaid codes (T2016, H2020, H0019) together account for 96.7% of the provider’s total Medicaid revenue. Individually, T2016 accounts for $107.4M (86.8% of Medicaid revenue), H2020 for $7.5M (6.1%), and H0019 for $4.6M (3.7%).

The code mix (T2016 – Habilitation, residential, waiver; per diem; H2020 – Therapeutic behavioral services, per diem; H0019 – long-term residential without room and board, per diem) indicates operations structured around long-stay, per-diem residential habilitation and therapeutic behavioral services rather than episodic outpatient care. High per-claim payments for the per-diem codes are consistent with resource-intensive residential placements rather than brief clinical encounters.

T2016 dominance is internal but not statewide dominance: the provider billed 9K claims for T2016 at an average paid/claim of $11881, generating $107.4M, yet this activity ranks #8 of 45 providers in-state (84th percentile) and is characterized as "typical, unremarkable volume for this code." This means Keystone is heavily reliant on T2016 for its own revenue while remaining an upper-quartile but not market-leading participant statewide on that code.

H2020 and H0019 represent meaningful but much smaller revenue lines: H2020 shows 3.9K claims at $1925 avg paid/claim for $7.5M (ranks #9 of 36, 77th percentile) and H0019 shows 1.4K claims at $3406 avg paid/claim for $4.6M (ranks #10 of 15, 36th percentile), both labeled "typical, unremarkable volume for this code." These ranks suggest modest competitive standing for supplemental therapeutic services and long-term residential without room and board relative to peers.

Secondary codes are marginal contributors and indicate limited program diversification: T2048 (401 claims, $9546 avg paid/claim, $3.8M; 3.1% of Medicaid revenue; ranks #10 of 13, 25th percentile, "typical, unremarkable volume for this code") and S5145 (529 claims, $570 avg paid/claim, $301.5K; 0.2% of Medicaid revenue; ranks #16 of 21, 25th percentile, "typical, unremarkable volume for this code") together contribute only a small portion of revenue and suggest niche or ancillary service lines such as room-and-board-inclusive long-term care and foster-care therapeutic per-diem placements.

The pattern of large per-diem payments (e.g., $11881 avg paid/claim for T2016 and $9546 for T2048) combined with per-diem claim volumes implies a business model dependent on extended residential stays and high-acuity custodial/therapeutic services. H2020’s $1925 avg paid/claim and H0019’s $3406 avg paid/claim further support a model that pairs daily habilitation/behavioral therapy with long-term placement.

For payers and network planners, Keystone’s Medicaid concentration poses a single-point sensitivity: changes to policy, rates, or utilization management for T2016 would materially affect the provider (T2016 = $107.4M, 86.8% of Medicaid revenue) because the top 3 codes account for 96.7% of Medicaid revenue. Contracting, oversight, and capacity analyses should therefore treat Keystone as an organization whose viability and service capacity are closely tied to per-diem residential habilitation reimbursement and related behavioral-service codes.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	9,040	$11,880	$107.4M
H2020	Therapeutic behavioral services, per diem	3,920	$1,930	$7.5M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1,360	$3,410	$4.6M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	400	$9,550	$3.8M
S5145	Foster care, therapeutic, child; per diem	530	$570	$301.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Keystone Continuum, LLC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	10	10	770	$9,920	$22M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	10	20	1,590	$1,740	$16.5M
T2016	Habilitation, residential, waiver; per diem	8	50	2,620	$430	$11.9M
H2020	Therapeutic behavioral services, per diem	9	40	880	$1,910	$5.9M
S5145	Foster care, therapeutic, child; per diem	16	20	1,370	$590	$1.5M

Nearby Providers

Other providers in the same ZIP code as Keystone Continuum, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain States Health Alliance	TN	Critical Access Hospital	$0	$3M
Bethany Rock	TN	Family Nurse Practitioner	$103.6K	$0
Daniel Jones	TN	Physician Assistant	$32.3K	$0
Dereck Campbell	TN	Physician Assistant	$31.9K	$0

Keystone Continuum, LLC — Billing Profile & Reimbursement Data

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Keystone Continuum, 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