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.

Sugar Camp House Adult Day Health Care (NPI 1871013326)

Field	Value
Entity Type	Organization
Organization	Sugar Camp House Adult Day Health Care
Address	157 Ky Hwy 3346
City	Booneville
State	KY
ZIP	41314
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	June 26, 2017

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5108	Home care training to home care client, per 15 minutes	14,840	$180	$2.7M
S5100	Day care services, adult; per 15 minutes	950	$70	$68.5K

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

Sugar Camp House Adult Day Health Care — 0 of 2 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

2 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	76	100	43,820	$140	$16.6M
S5100	Day care services, adult; per 15 minutes	94	100	16,270	$70	$1.9M

Nearby Providers

Other providers in the same ZIP code as Sugar Camp House Adult Day Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Practice Clinic Of Booneville, Inc.	KY	Rural Health Clinic/Center	$0	$5M
Allens Ambulance Service Inc	KY	Land Ambulance	$273.5K	$369.3K
Darlene Wilson	KY	Family Nurse Practitioner	$24K	$139.7K
Brittany Bobrowski	KY	Family Medicine Physician	$29.6K	$22.2K

Sugar Camp House Adult Day Health Care — Billing Profile & Reimbursement Data

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Sugar Camp House Adult Day Health Care — 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