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.

Bluegrass Area Development District (NPI 1912023227)

Field	Value
Entity Type	Organization
Organization	Bluegrass Area Development District
Address	699 Perimeter Dr
City	Lexington
State	KY
ZIP	40517
Taxonomy	Supports Brokerage Agency
NPI Enumerated	March 21, 2007

Payer Source	Total Paid
Medicaid	$65.3M
Medicare	$0

Key Findings

BLUEGRASS AREA DEVELOPMENT DISTRICT is effectively a Medicaid-focused provider with no Medicare billing on file and $65.3M in lifetime Medicaid revenue reported. Its NPI was enumerated 2007-03-21 (~19 years ago), indicating long-tenured participation in public programs but a concentrated payer footprint limited to Medicaid.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 99.5% of the provider’s total Medicaid revenue. S5108 alone represents 81.8% of Medicaid revenue ($53.4M), T2040 represents 16.0% ($10.4M), and T1005 represents 1.8% ($1.2M), demonstrating that the business is driven by a very small set of time- and service-based codes.

The code mix signals an operational focus on in-home supports and waiver management rather than clinical or facility-based care. S5108 (Home care training to home care client, per 15 minutes) shows 523.5K claims at a $102 avg paid/claim and $53.4M revenue, indicating a labor- and visit-intensive business model centered on training and direct in-home assistance.

T2040 (Financial management, self-directed, waiver; per 15 minutes) activity—39.8K claims, $262 avg paid/claim, $10.4M revenue—shows the provider also operates as a financial-management/vendor of self-directed waiver services. Its 16.0% revenue share and code description suggest administrative and fiduciary support for waiver participants is a meaningful secondary service line.

T1005 (Respite care services, up to 15 minutes) accounts for 23.7K claims, a $50 avg paid/claim, and $1.2M revenue (1.8% of Medicaid revenue), indicating a modest but present respite offering consistent with an agency supporting in-home caregiver relief. This code’s rank (#14 of 81, 84th percentile) places the provider as a typical in-state participant for respite services rather than a market leader.

Competitive standing is highly code-dependent: for S5108 the provider ranks #3 of 101 in-state (98th percentile) and is described as notably above typical state volume, positioning it as a major statewide player for home-care training services. For T2040 it ranks #7 of 43 (86th percentile) and for T1005 #14 of 81 (84th percentile), both characterized as typical or unremarkable volumes relative to peers, so the provider’s dominance is focused primarily on S5108.

Several secondary codes are immaterial to overall revenue but clarify service breadth: T1999 (miscellaneous therapeutic items) generated $269.9K across 1.7K claims and ranks #16 of 36 (57th percentile), while T1016 (case management) generated $24.1K across 309 claims and ranks #55 of 63 (13th percentile). These smaller lines suggest supplemental offerings rather than core revenue drivers.

Operationally, the extreme concentration on a single code family (S5108 at 81.8% of Medicaid revenue and the top three codes totaling 99.5%) implies both a competitive advantage in delivering home-care training at scale and exposure to rate or policy changes affecting those specific time-based, in-home, and waiver-management services. Analysts should treat the provider as a specialist in in-home training and waiver financial management rather than a broad-based clinical or institutional Medicaid vendor.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5108	Home care training to home care client, per 15 minutes	523,460	$100	$53.4M
T2040	Financial management, self-directed, waiver; per 15 minutes	39,760	$260	$10.4M
T1005	Respite care services, up to 15 minutes	23,670	$50	$1.2M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1,730	$160	$269.9K
T1016	Case management, each 15 minutes	310	$80	$24.1K

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

Bluegrass Area Development District — 1 of 5 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

5 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	3	100	43,820	$140	$16.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	7	40	14,910	$160	$3.5M
T1016	Case management, each 15 minutes	55	60	3,410	$120	$970.5K
T1005	Respite care services, up to 15 minutes	14	80	2,880	$70	$799.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	16	40	1,370	$160	$315.4K

Nearby Providers

Other providers in the same ZIP code as Bluegrass Area Development District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Medical Services Foundation, Inc	KY	Internal Medicine Physician	$0	$110.4M
Bluegrass Area Development District	KY	Case Management Agency	$0	$75.4M
Afton Communiy Day, Inc.	KY	Adult Day Care Clinic/Center	$0	$56M
Baptist Health Medical Group Inc	KY	Nurse Practitioner	$0	$54.1M
Families Hope, LLC	KY	Adult Care Home Facility	$0	$19.4M
Central Kentucky Radiology PLLC	KY	Diagnostic Radiology Physician	$0	$17.6M
Lionheart Trauma Support Services, LLC	KY	Clinical Social Worker	$0	$3.5M
Johannes Evans	KY	Ophthalmology Physician	$291.9K	$588.5K
David Blandford	KY	Ophthalmology Physician	$260.1K	$58.1K
William Curtis	KY	Ophthalmology Physician	$216.2K	$84.2K

Bluegrass Area Development District — Billing Profile & Reimbursement Data

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Bluegrass Area Development District — 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

Nearby Providers

Frequently Asked Questions

References