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.

Psf PLLC (NPI 1881785947)

Psf PLLC is a allergy & immunology physician provider located in Louisville, Kentucky. This profile covers 0 Medicare and 34 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Psf PLLC
Address	9800 Shelbyville Rd
City	Louisville
State	KY
ZIP	40223
Taxonomy	Allergy & Immunology Physician
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$41.4M
Medicare	$0

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	122,030	$120	$15.1M
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	808,290	$10	$8.1M
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	51,210	$130	$6.8M
99204	The provider sees a new 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 provider…	35,000	$90	$3.1M
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…	73,070	$30	$2.5M
95024	The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.	18,970	$80	$1.4M
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…	25,900	$50	$1.4M
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	31,460	$20	$597.7K
95115	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.	55,360	$10	$442.9K
J2357	Injection, omalizumab, 5 mg	420	$950	$396.3K

Showing 1–10 of 34

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

Psf PLLC — 16 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	1	60	820	$110	$467.9K
J2357	Injection, omalizumab, 5 mg	3	10	330	$450	$424.8K
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…	70	3,340	1,020	$30	$296K
95180	Code 95180 is in the Medicine section; subsection Allergy and Clinical Immunology/Allergen Immunotherapy. An allergenic extract is a protein containing an extract purified from a substance to which a…	1	10	2,010	$130	$264.4K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	1	60	180	$120	$246.6K
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…	87	2,460	580	$40	$245K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	33	70	230	$420	$228.2K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	1	100	580	$10	$119.8K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	38	60	240	$140	$112.6K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	14	50	150	$360	$106.7K

Showing 1–10 of 34

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phillip Lieberman	TN	Allergy & Immunology Physician	$618.6K	$0
Susan Raschal	TN	Allergy & Immunology Physician	$610.5K	$840
Joseph Turbyville	KY	Allergy & Immunology Physician	$303.6K	$4.3K
Scot Snodgrass	AR	Allergy & Immunology Physician	$199.2K	$100.2K
Damon Coyle	KY	Allergy & Immunology Physician	$213.3K	$5.9K
Stephen Pollard	KY	Allergy & Immunology Physician	$193.4K	$260
William Stricker	MO	Allergy Physician	$188K	$0
Nathan Richards	IN	Allergy & Immunology Physician	$150.7K	$0
Daniel Garcia	KY	Allergy & Immunology Physician	$148.4K	$0
Stuart White	KY	Allergy & Immunology Physician	$145.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seven Counties Services, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$375.2M
Seven Counties Services, Inc.	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$194.4M
Maryhurst, Inc.	KY	Community/Behavioral Health Agency	$0	$29.7M
Therapeutic Intervention Services	KY	Community/Behavioral Health Agency	$0	$24.9M
Seven Counties Services, Inc.	KY	Clinic/Center	$0	$11.2M
Southern Home Care Services, Inc.	KY	Intellectual Disabilities Intermediate Care Facility	$0	$11.1M
Help At Home, LLC	KY	Home Health Agency	$0	$10.3M
Caretenders Vs Of Louisville, LLC	KY	Home Health Agency	$0	$8.9M
Abi-alternative Intervention Dba Abi Behavioral Health	KY	Professional Counselor	$0	$7.6M
Seven Counties Services, Inc.	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.9M

Psf PLLC — Billing Profile & Reimbursement Data

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Psf PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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