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.

A1 Case Management (NPI 1811263908)

Field	Value
Entity Type	Organization
Organization	A1 Case Management
Address	110 N 2nd St
City	Danville
State	KY
ZIP	40422
Taxonomy	Case Management Agency
NPI Enumerated	March 22, 2012

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	22,840	$310	$7.1M

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

A1 Case Management — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	14	80	7,120	$290	$4.1M

Nearby Providers

Other providers in the same ZIP code as A1 Case Management, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spero Health Of Kentucky, LLC	KY	Addiction Medicine (Family Medicine) Physician	$0	$154.3M
Ephraim Mcdowell Regional Medical Center Incorporated	KY	General Acute Care Hospital	$0	$60M
Addixxion Recovery Of Kentucky, LLC	KY	Addiction Medicine (Family Medicine) Physician	$0	$16.6M
G & R Staed, Inc	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12M
D&s Residential Services, LP	KY	Developmental Disabilities Clinic/Center	$0	$9.8M
Family Ties, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$8.7M
Empact Midwest LLC	KY	Emergency Medicine Physician	$0	$7.3M
Danville Pediatrics And Primary Care, PLLC	KY	Pediatrics Physician	$0	$5.9M
Ekkco Inc.	KY	Adult Care Home Facility	$0	$5.5M
Ich-epg Alliance, LLC	KY	Emergency Medicine Physician	$0	$4.8M

A1 Case Management — Billing Profile & Reimbursement Data

Sign up for A1 Case Management — Billing Profile & Reimbursement Data policy alerts

A1 Case Management — Billing Profile & Reimbursement Data

Sign up for A1 Case Management — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References