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 Behavioral School For Children (NPI 1922632249)

Field	Value
Entity Type	Organization
Organization	Bluegrass Behavioral School For Children
Address	205 Champion Way Ste 11
City	Georgetown
State	KY
ZIP	40324
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 25, 2020

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2020	Therapeutic behavioral services, per diem	15,520	$190	$3M
H2015	Comprehensive community support services, per 15 minutes	2,120	$60	$125.2K
T2023	Targeted case management; per month	350	$240	$81.9K
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…	650	$70	$44.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	360	$90	$30.7K
90832	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…	630	$40	$25.2K
H2012	Behavioral health day treatment, per hour	190	$90	$16.1K
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…	170	$60	$9.6K
H0032	Mental health service plan development by non-physician	130	$60	$8.3K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	720	$10	$5.8K

Showing 1–10 of 15

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 Behavioral School For Children — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	9	10	4,990	$240	$2.3M
H2020	Therapeutic behavioral services, per diem	14	130	1,730	$180	$1.2M
H2027	Psychoeducational service, per 15 minutes	169	220	970	$170	$1.1M
T2023	Targeted case management; per month	305	530	530	$300	$1.1M
H2015	Comprehensive community support services, per 15 minutes	86	200	1,610	$80	$585.6K
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…	682	1,270	760	$80	$447.2K
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…	1,717	2,460	580	$40	$245K
90832	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…	291	600	600	$40	$207.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	91	90	250	$90	$199.4K
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…	466	500	250	$60	$152.8K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Bluegrass Behavioral School For Children, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgetown Community Hospital LLC	KY	Rural Acute Care Hospital	$0	$44M
Pinnacle Treatment Centers Ky-i, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$30.8M
Pinnacle Treatment Centers Ky-i, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$23.4M
Center For Comprehensive Services, Inc	KY	Rehabilitation Hospital	$0	$12.2M
Deaton & Deaton Counseling & Consulting	KY	Mental Health Counselor	$0	$8.6M
Kentucky Mso, LLC	KY	Cardiovascular Disease Physician	$0	$6.6M
Georgetown Pediatrics, Psc	KY	Pediatrics Physician	$0	$5.2M
Georgetown Urgent Care PLLC	KY	Urgent Care Clinic/Center	$0	$5M
The Implant And Oral Surgery Center, LLC	KY	Oral and Maxillofacial Surgery (Dentist)	$0	$4.9M
New Vista Of The Bluegrass Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.4M

Bluegrass Behavioral School For Children — Billing Profile & Reimbursement Data

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Bluegrass Behavioral School For Children — 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