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.

Tri-generations LLC Central Ky (NPI 1770879058)

Field	Value
Entity Type	Organization
Organization	Tri-generations LLC Central Ky
Address	436 Hotchkiss St
City	Campbellsville
State	KY
ZIP	42718
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	June 24, 2011

Payer Source	Total Paid
Medicaid	$36.1M
Medicare	$0

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	166,680	$180	$30.2M
T2021	Day habilitation, waiver; per 15 minutes	80,460	$70	$5.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	4,570	$90	$407.1K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	2,840	$80	$233.2K
E1399	Durable medical equipment, miscellaneous	20	$70	$1.1K

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

Tri-generations LLC Central Ky — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	8	150	42,680	$190	$11.3M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	99	310	830	$120	$3.7M
T2021	Day habilitation, waiver; per 15 minutes	11	150	16,130	$70	$1.7M
E1399	Durable medical equipment, miscellaneous	22	30	170	$600	$996.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	3	10	2,500	$70	$217.2K

Nearby Providers

Other providers in the same ZIP code as Tri-generations LLC Central Ky, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Taylor County Hospital District Health Facilities Corporation	KY	General Acute Care Hospital	$0	$36.1M
Modern Care LLC	KY	Adult Care Home Facility	$0	$29.7M
The Kid Spot Center	KY	Occupational Therapist	$0	$27.4M
Phoenix Way, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$13.6M
Reach For The Stars Case Management	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.4M
Air Evac Ems Inc	KY	Air Ambulance	$987.5K	$1.8M
City Of Campbellsville Ky	KY	Land Ambulance	$516.8K	$805.8K
Peter Hardin	KY	Radiation Oncology Physician	$694K	$0
Matthew Feltner	KY	Podiatrist	$633.9K	$0
Mark Risen	KY	Primary Podiatric Medicine Podiatrist	$170K	$444.7K

Tri-generations LLC Central Ky — Billing Profile & Reimbursement Data

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Tri-generations LLC Central Ky — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References