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.

Green Meadows Wellness Center One, LLC (NPI 1902377864)

Field	Value
Entity Type	Organization
Organization	Green Meadows Wellness Center One, LLC
Address	8554 Ky 1232
City	Corbin
State	KY
ZIP	40701
Taxonomy	Clinical Psychologist
NPI Enumerated	December 17, 2018

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	18,880	$70	$1.3M
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	17,730	$50	$939.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	5,730	$80	$475.9K
99354	N/A	2,990	$70	$206.5K
H0032	Mental health service plan development by non-physician	1,070	$70	$70.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	690	$100	$67.1K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	2,350	$20	$56.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	830	$60	$51.3K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	6,300	$10	$50.4K
99355	N/A	380	$50	$19.5K

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

Green Meadows Wellness Center One, LLC — 2 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	105	180	1,320	$220	$1.9M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	199	1,270	760	$80	$447.2K
99354	N/A	33	170	470	$50	$151K
H0032	Mental health service plan development by non-physician	84	380	160	$70	$107.8K
99355	N/A	14	40	170	$70	$90.8K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1	30	90	$70	$84.2K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1	30	170	$60	$66.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	149	680	130	$80	$62.9K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	25	130	360	$30	$53.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	18	200	450	$10	$15.9K

Nearby Providers

Other providers in the same ZIP code as Green Meadows Wellness Center One, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cumberland River Behavioral Health, Inc	KY	Community/Behavioral Health Agency	$0	$349.5M
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$121.5M
Grace Community Health Center, Inc.	KY	Federally Qualified Health Center (FQHC)	$0	$21.1M
Barnhill Pediatric Dentistry, P.s.c.	KY	Pediatric Dentistry	$0	$13.8M
Bhg Xxxiv, LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$156.1K	$6.3M
Cumberland Valley Surgical Center, LLC	KY	Ambulatory Surgical Clinic/Center	$1M	$5.2M
Sav-rite Home Care Inc	KY	Durable Medical Equipment & Medical Supplies	$0	$6.1M
Southeastern Medical Supply LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$6M
Corbin Pediatric Associates Psc	KY	Rural Health Clinic/Center	$0	$4.2M
Martin Case Management	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$3.1M

Green Meadows Wellness Center One, LLC — Billing Profile & Reimbursement Data

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Green Meadows Wellness Center One, LLC — 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