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 1821032913)

Field	Value
Entity Type	Organization
Organization	New Vista Of The Bluegrass Inc
Address	125 B Big Sink Pike
City	Versailles
State	KY
ZIP	40383
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicaid	$166M
Medicare	$0

Key Findings

NEW VISTA OF THE BLUEGRASS INC is effectively a Medicaid-focused provider: it has no Medicare billing on file while reporting $166M in lifetime Medicaid revenue, indicating the organization operates almost entirely within Medicaid-funded services rather than serving a Medicare population. This single-payer concentration shapes its service mix, contracting priorities, and reimbursement risk exposure around state Medicaid policy and waiver programs.

Revenue is highly concentrated in a very small set of Medicaid codes: the top 3 Medicaid codes by revenue account for 89.4% of the provider’s total Medicaid revenue, with 97535 alone representing $110.1M (66.3% of Medicaid revenue). This concentration implies the provider’s financial performance is tightly linked to utilization and reimbursement trends for a handful of programmatic services.

The code mix signals an operation centered on rehabilitative and long-term support services for community-based clients: 97535 (therapeutic training/instruction), T2022 (monthly case management), and S5108 (home care training) together dominate revenue, suggesting the organization delivers high-volume therapy/instruction services alongside case management and in-home training. These codes are consistent with a community mental health/waiver-focused clinic model emphasizing repeated, time-based service delivery.

NEW VISTA is a regional outlier on key service lines. The provider ranks #4 of 305 in the state for 97535 (99th percentile) and #2 of 81 for T2022 (99th percentile), both labeled as extreme outliers and indicating volumes far above typical state peers. These rankings position the organization as a dominant in-state supplier for those specific Medicaid services rather than a modest participant.

Several supporting codes are notable but more typical: S5108 ($14.7M, 8.9% of Medicaid revenue) ranks #30 of 101 in-state (71st percentile) and is described as typical volume, while T1019 and T2040 show above-typical activity with T2040 ranking #3 of 43 (95th percentile). This mix indicates the provider combines a few extremely high-volume lines with several other standard waiver and personal-care services to support clients’ daily living and care coordination.

The provider’s tenure (NPI enumerated 2006-06-16, ~20 years ago) indicates a long-established operation in the community; sustained enrollment over two decades combined with the large Medicaid revenue base suggests institutional stability and entrenched participation in state waiver and behavioral health programs.

Because a small number of codes drive the majority of Medicaid revenue, the provider faces concentrated operational and policy risk: changes to reimbursement rules, prior authorization, or case-mix definitions for 97535, T2022, or S5108 could disproportionately affect its revenue stream. Conversely, the provider’s high ranks for the top codes likely give it negotiating leverage and operational expertise in delivering those specific services.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	860,150	$130	$110.1M
T2022	Case management, per month	87,830	$270	$23.6M
S5108	Home care training to home care client, per 15 minutes	141,390	$100	$14.7M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	67,510	$120	$8.3M
T2040	Financial management, self-directed, waiver; per 15 minutes	60,810	$100	$6.3M
T1005	Respite care services, up to 15 minutes	45,940	$70	$3M

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 — 3 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5108	Home care training to home care client, per 15 minutes	30	100	43,820	$140	$16.6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	16	50	13,600	$140	$11.1M
T2022	Case management, per month	2	80	7,120	$290	$4.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	4	310	830	$120	$3.7M
T2040	Financial management, self-directed, waiver; per 15 minutes	3	40	14,910	$160	$3.5M
T1005	Respite care services, up to 15 minutes	7	80	2,880	$70	$799.2K

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	$69.6M
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
Woodford Hospital LLC	KY	Critical Access Hospital	$0	$11.7M
Brian Smith	KY	Family Medicine Physician	$192.9K	$3.2M
Steps Ahead, Inc.	KY	Case Management Agency	$0	$3.4M
Woodford County	KY	Land Ambulance	$216.4K	$323.1K
Richard Graebe	KY	Optometrist	$20.5K	$469.5K
Robby Hutchinson	KY	Family Medicine Physician	$135.4K	$0
Michael Spalding	KY	Physical Therapist	$112.2K	$0
Katherine Bollinger	KY	Physician Assistant	$41.2K	$0
Forest Walker	KY	Emergency Medicine Physician	$35.4K	$0
James Davis	KY	Public Health & General Preventive Medicine Physician	$17.9K	$0

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

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New Vista Of The Bluegrass Inc — 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