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.

Down Syndrome Of Louisville, Inc. (NPI 1841498698)

Field	Value
Entity Type	Organization
Organization	Down Syndrome Of Louisville, Inc.
Address	5001 S Hurstbourne Pkwy
City	Louisville
State	KY
ZIP	40291
Taxonomy	Developmental Therapist
NPI Enumerated	July 3, 2007

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	50,750	$60	$3M
H0004	Behavioral health counseling and therapy, per 15 minutes	5,690	$120	$705.4K
T1005	Respite care services, up to 15 minutes	270	$540	$141.8K
H0039	Assertive community treatment, face-to-face, per 15 minutes	3,870	$20	$58K

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

Down Syndrome Of Louisville, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	52	180	1,320	$220	$1.9M
T2021	Day habilitation, waiver; per 15 minutes	21	150	16,130	$70	$1.7M
T1005	Respite care services, up to 15 minutes	72	80	2,880	$70	$799.2K
H0039	Assertive community treatment, face-to-face, per 15 minutes	3	10	1,270	$20	$46.2K

Nearby Providers

Other providers in the same ZIP code as Down Syndrome Of Louisville, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sage Support Services	KY	Community/Behavioral Health Agency	$0	$11.5M
One Pediatrics, PLLC	KY	Pediatrics Physician	$0	$4.1M
Kids Dentistree Of Ky LLC	KY	Pediatric Dentistry	$0	$3.2M
Fern Creek Fire Protection District	KY	Land Ambulance	$919.9K	$1.9M
Kenneth Hall	KY	Optometrist	$105.8K	$116.1K
Steven Spalding	KY	Family Medicine Physician	$109.9K	$0
Ernesto Nillar-fonseca	KY	Clinical Psychologist	$100.9K	$0
Walgreen Co	KY	Pharmacy	$97.1K	$0
Wal-mart Stores East LP	KY	Community/Retail Pharmacy	$81.5K	$0
Kathrine Wilson	KY	Physical Therapist	$73.6K	$0

Down Syndrome Of Louisville, Inc. — Billing Profile & Reimbursement Data

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Down Syndrome Of Louisville, Inc. — 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