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.

New Vista Of The Bluegrass Inc (NPI 1790731081)

Field	Value
Entity Type	Organization
Organization	New Vista Of The Bluegrass Inc
Address	191 Doctors Dr
City	Frankfort
State	KY
ZIP	40601
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$69.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-first operation: there is no Medicare billing on file and total Medicaid revenue is $69.6M, indicating the organization's financial scale is driven almost entirely by state Medicaid contracts and fee-for-service claims. Analysts should treat NEW VISTA OF THE BLUEGRASS INC as a single-payer (Medicaid) entity for strategic or network planning purposes.

Revenue is highly concentrated in a small set of behavioral-health services: the top three Medicaid codes (90837, T2023, 90834) together account for 55.8% of the provider’s Medicaid revenue. In particular, 90837 alone generates $23.3M (33.5% of Medicaid revenue), while T2023 contributes $11.1M (16.0%) and 90834 contributes $4.4M (6.3%), so any payer negotiations or care-management programs targeting psychotherapy or case management will materially affect the provider’s revenue base.

The code mix signals a psychotherapy-centered community mental health clinic model: large revenue and claim volumes for 90837 (202.4K claims, $115 avg, $23.3M) and 90834 (48.7K claims, $90 avg, $4.4M) point to sustained, long- and mid-length individual psychotherapy services, while high volumes of T2023 (34.7K claims, $320 avg, $11.1M) indicate a substantial targeted case management program supporting those clinical services. The presence of high-volume E/M codes (99214, 99213) alongside psychiatric evaluation codes (90791, 90792) reinforces a model that couples clinical psychotherapy with evaluation and ongoing management.

On statewide competitive standing, the provider is a leading outlier on several high-value behavioral codes: 90837 ranks #5 of 1266 providers in-state (100th percentile; extreme outlier) and 90791 ranks #2 of 682 providers (100th percentile; extreme outlier), indicating dominant scale for those services. T2023 and 90834 are also extreme outliers or near-outliers (T2023: #12 of 525, 98th percentile; 90834: #5 of 504, 99th percentile), which positions the provider as a major statewide delivery hub for psychotherapy and case management.

The organization also operates a substantial substance-use treatment stream: H0020 (methadone administration) records 50.3K claims and $4.4M in revenue (6.3% of Medicaid revenue), while H0011 (acute detoxification) reports 9.3K claims and $2.1M (3.0%). Those volumes and revenues indicate an integrated behavioral health and SUD treatment portfolio rather than a narrow outpatient-only psychotherapy shop.

Operational throughput is high across many codes, reflecting a high-volume clinic footprint: examples include 245.3K claims for T1040 (per diem community behavioral health clinic services) yielding $2.2M, 202.4K claims for 90837, and 60.9K claims for 90832 ($3.8M). The combination of very large claim counts with mixed per-claim payments (from $9 per diem for T1040 up to $701 per diem for H0040) suggests the provider delivers a mix of low-unit-value high-frequency services and higher-unit-value episodic programs.

Some high-ranked services sit in small peer pools or have context that tempers interpretation: H0040 (assertive community treatment program) produces $3.8M and ranks #2 of 14 providers in-state (92th percentile; typical, unremarkable volume for this code), showing leadership in a narrow service category but not necessarily unusual activity given the small statewide provider set. Similarly, T1040 posts very large claim counts but a low $9 avg paid/claim and ranks #3 of 4 providers in-state (33th percentile), so payers should consider both claim frequency and per-unit revenue when assessing network value.

The provider has an established presence in the state market, with NPI enumeration on 2006-05-26 (~20 years ago), indicating long tenure and likely institutional relationships with Medicaid managed care plans and state behavioral health programs. That longevity combined with extreme outlier volumes on core psychotherapy and case management codes makes NEW VISTA OF THE BLUEGRASS INC a durable, high-capacity behavioral health provider to watch for network contracting and capacity assessments.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	202,370	$120	$23.3M
T2023	Targeted case management; per month	34,740	$320	$11.1M
90834	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…	48,730	$90	$4.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	50,310	$90	$4.4M
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…	60,890	$60	$3.8M
H0040	Assertive community treatment program, per diem	5,380	$700	$3.8M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	60,170	$60	$3.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	26,430	$110	$2.8M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	41,930	$50	$2.2M
T1040	Medicaid certified community behavioral health clinic services, per diem	245,260	$10	$2.2M

Showing 1–10 of 39

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

New Vista Of The Bluegrass Inc — 7 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

39 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	34	70	7,180	$270	$6.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	14	30	43,760	$80	$5.2M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	21	50	4,480	$220	$2.4M
T1040	Medicaid certified community behavioral health clinic services, per diem	3	10	303,880	$10	$2.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	133	180	1,320	$220	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	11	50	820	$190	$1.7M
H0040	Assertive community treatment program, per diem	2	10	1,230	$670	$1.4M
T2023	Targeted case management; per month	12	530	530	$300	$1.1M
H2021	Community-based wrap-around services, per 15 minutes	12	30	2,140	$130	$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…	101	230	1,750	$110	$793.5K

Showing 1–10 of 39

Related Providers

Other providers that share a Tax Identification Number (TIN) with New Vista Of The Bluegrass Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Vista Of The Bluegrass Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$166M
New Vista Of The Bluegrass Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.4M

Nearby Providers

Other providers in the same ZIP code as New Vista Of The Bluegrass Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frankfort Hospital, Inc.	KY	General Acute Care Hospital	$0	$39.4M
Everyday Matters,l.l.c.	KY	Developmentally Disabled Services Day Training Agency	$0	$26M
Harmony Care Inc	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.2M
Cypress Community Services, LLC	KY	Community/Behavioral Health Agency	$0	$9.9M
Abilities Unlimited, LLC	KY	Lodging Provider	$0	$5.3M
Center For Behavioral Health Kentucky LLC	KY	Methadone Clinic	$74.9K	$4.9M
Juniper Hill Park Emergency Physicians LLC	KY	Emergency Medicine Physician	$0	$3.8M
Vbh Kentucky Inc	KY	Substance Abuse Rehabilitation Facility	$0	$3.4M
Community Alternatives Kentucky, Inc.	KY	Case Management Agency	$0	$3.4M
City Of Frankfort	KY	Land Ambulance	$417.3K	$810.2K

New Vista Of The Bluegrass Inc — Billing Profile & Reimbursement Data

Sign up for New Vista Of The Bluegrass Inc — Billing Profile & Reimbursement Data policy alerts

New Vista Of The Bluegrass Inc — Billing Profile & Reimbursement Data

Sign up for New Vista Of The Bluegrass Inc — Billing Profile & Reimbursement Data policy alerts

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