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 Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

Recover Together, LLC (NPI 1891102497)

Field	Value
Entity Type	Organization
Organization	Recover Together, LLC
Address	465 Bielby Rd
City	Lawrenceburg
State	IN
ZIP	47025
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	July 15, 2014

Payer Source	Total Paid
Medicaid	$122.3M
Medicare	$0

Key Findings

RECOVER TOGETHER, LLC reports no Medicare billing on file and $122.3M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) billing organization in the available records. This absence of Medicare volume concentrates the provider’s revenue exposure and competitive positioning entirely within Medicaid markets.

Revenue is highly concentrated in a few behavioral-health service lines: the top three Medicaid codes (H0047, 99213, 90853) together account for 70.4% of the provider’s Medicaid revenue. Those three codes individually contribute $46.6M (38.1%) for H0047, $21.6M (17.6%) for 99213, and $17.9M (14.6%) for 90853, indicating most dollars flow from addiction-related services, frequent office visits, and large-volume group psychotherapy.

The code mix points to an organization oriented around substance-use disorder treatment and high-volume outpatient behavioral care: H0047 (Alcohol and/or other drug abuse services, NOS) and 99408 (screening and brief intervention) drive substantial revenue and volume, while 90853 (group psychotherapy) and several alcohol/substance codes (T1007, H0005, T1012) appear throughout the top codes. Combined with frequent E/M visits (99213), the pattern suggests integrated intake/ongoing management plus group-based therapy as core operational elements.

Several high-volume, low-unit-payment services underpin the revenue model: 90853 shows 894.6K claims at a $20 avg paid/claim, and 80305 shows 752.1K claims at a $7 avg paid/claim. These very large claim counts with modest per-claim reimbursement imply the provider’s Medicaid revenue is driven by scale of encounters (group therapy and presumptive drug testing) rather than high-priced procedures.

RECOVER TOGETHER is a dominant statewide performer on multiple key codes: 90853 ranks #1 of 217 providers in-state and is described as an extreme outlier, 99213 ranks #6 of 2377 providers in-state and is also an extreme outlier, and 80305 ranks #1 of 223 providers in-state (extreme outlier). These rank/percentile placements indicate the provider bills at volumes far above typical state peers for group psychotherapy, established outpatient visits, and presumptive drug testing, signaling a major presence in the state Medicaid behavioral-health market.

The provider also bills substantial month-based care coordination and case management services, with T2022 accounting for $12.2M (10.0% of Medicaid revenue) and ranking #6 of 101 providers in-state (95th percentile). Additional monthly clinic-service codes such as T1041 ($1.9M) and G9012 ($4.2M) show the organization offers broader case management and certified community behavioral health clinic–style services in its care mix.

A subset of reported procedure codes show claims but no recorded Medicaid payments (for example, G2088, 90899, H0020, G0480 list $0 avg paid/claim and $0 revenue in these records), which indicates activity reporting without associated paid Medicaid revenue in the dataset. Analysts should treat those lines as billed or logged activities that did not generate recorded Medicaid payments in the available extracts, rather than as material revenue drivers.

RECOVER TOGETHER was enumerated on 2014-07-15 (≈12 years ago), indicating an established presence in the market; coupled with the heavy Medicaid concentration and the dominance on several behavioral-health codes, this tenure suggests the organization has scaled a Medicaid-focused addiction and group-therapy business model over multiple years. Payers and network analysts should consider both the revenue concentration (top 3 codes = 70.4% of Medicaid revenue) and the provider’s statewide volume outlier status when evaluating contracting, utilization management, and oversight priorities.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0047	Alcohol and/or other drug abuse services, not otherwise specified	120,080	$390	$46.6M
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…	342,150	$60	$21.6M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	894,630	$20	$17.9M
T2022	Case management, per month	32,050	$380	$12.2M
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	33,410	$230	$7.6M
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	752,050	$10	$5.3M
G9012	Other specified case management service not elsewhere classified	19,530	$210	$4.2M
T1041	Medicaid certified community behavioral health clinic services, per month	5,740	$330	$1.9M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	20,160	$90	$1.8M
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	5,730	$220	$1.2M

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Recover Together, LLC — 8 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0047	Alcohol and/or other drug abuse services, not otherwise specified	1	10	120,080	$390	$46.6M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	27	30	240,980	$20	$6.4M
G9012	Other specified case management service not elsewhere classified	1	10	19,530	$210	$4.2M
T1041	Medicaid certified community behavioral health clinic services, per month	1	10	5,740	$330	$1.9M
T2022	Case management, per month	6	100	710	$180	$1.1M
T1012	Alcohol and/or substance abuse services, skills development	1	10	1,370	$480	$660.2K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	1	10	100	$180	$584.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	302	580	710	$60	$582.9K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	1	10	630	$200	$424.9K
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…	6	2,380	920	$50	$376.8K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Recover Together, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recover Together, Inc.	KY	Adult Mental Health Clinic/Center	$0	$36.6M
Mairelis De La Cruz Hernandez	FL	Psychiatric/Mental Health Nurse Practitioner	$491K	$0
Mitchell Young	NH	Family Medicine Physician	$88.6K	$0
NPI 1649611674	—	—	$67.5K	$0
Aimee Cross	IN	Family Nurse Practitioner	$49.4K	$0
Toller Wilson	VT	Internal Medicine Physician	$27.5K	$0
Thomas Small	IN	Emergency Medicine Physician	$26.4K	$0
Sarah Black	TN	Physician Assistant	$24.8K	$0
Philip Winternheimer	IN	Family Nurse Practitioner	$20.8K	$0
Sally Sperring Johnson	IN	Addiction Medicine (Preventive Medicine) Physician	$18K	$0

Nearby Providers

Other providers in the same ZIP code as Recover Together, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Mental Health Center Inc	IN	Psychiatric Hospital	$0	$77.7M
East Indiana Treatment Center, LLC	IN	Methadone Clinic	$275K	$6.2M
St Elizabeth Medical Center, Inc	IN	General Acute Care Hospital	$0	$4.6M
Health Services Corporation Of Southeastern Indiana	IN	Family Medicine Physician	$0	$4.2M
Hospital Medicine Services Of Tennessee PC	IN	Hospitalist Physician	$0	$3.7M
Indiana Emergency Professionals PC	IN	Emergency Medicine Physician	$0	$2.8M
Stephen Eliason	IN	Anatomic Pathology & Clinical Pathology Physician	$272.1K	$0
Ronald Auer	IN	Orthopaedic Surgery Physician	$207.9K	$0
Elisha Clouse	IN	Family Nurse Practitioner	$203.6K	$0
Ashok Penmetsa	IN	Cardiovascular Disease Physician	$170.8K	$0

Recover Together, LLC — Billing Profile & Reimbursement Data

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Recover Together, LLC — 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