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.

Addixxion Recovery Of Kentucky, LLC (NPI 1952706111)

Addixxion Recovery Of Kentucky, LLC is a addiction medicine (family medicine) physician provider located in Danville, Kentucky. This profile covers 0 Medicare and 16 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	Addixxion Recovery Of Kentucky, LLC
Address	106 Belinda Blvd
City	Danville
State	KY
ZIP	40422
Taxonomy	Addiction Medicine (Family Medicine) Physician
NPI Enumerated	October 30, 2014

Payer Source	Total Paid
Medicaid	$16.6M
Medicare	$0

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	100,140	$70	$7M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	25,480	$190	$4.7M
T2023	Targeted case management; per month	6,180	$240	$1.5M
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…	57,710	$20	$1.2M
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…	25,130	$40	$955K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4,250	$110	$458.8K
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…	10,570	$30	$327.8K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1,340	$130	$167.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	4,840	$30	$135.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,850	$60	$105.5K

Showing 1–10 of 16

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

Addixxion Recovery Of Kentucky, LLC — 2 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7	50	2,830	$90	$1.4M
T2023	Targeted case management; per month	61	530	530	$300	$1.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	129	230	1,750	$110	$793.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	9	340	2,700	$40	$673.3K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	47	140	2,000	$60	$639.8K
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…	748	1,270	760	$80	$447.2K
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…	267	3,340	1,020	$30	$296K
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…	1,201	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…	67	600	600	$40	$207.8K
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…	393	500	250	$60	$152.8K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spero Health Of Kentucky, LLC	KY	Addiction Medicine (Family Medicine) Physician	$0	$154.3M
Thomas Karelis	KY	Internal Medicine Physician	$188.5K	$1M
Esther Mwasumbi	KY	Family Nurse Practitioner	$41.7K	$0
Heather Thompson	KY	Family Nurse Practitioner	$25.2K	$0
Chasity King	KY	Family Nurse Practitioner	$15.8K	$0
Kellie Smith	KY	Family Nurse Practitioner	$11.7K	$0
Aaron Ferda	KY	Addiction Medicine (Preventive Medicine) Physician	$9.9K	$1.1K
Jerry Ward	KY	Clinical Social Worker	$1K	$2.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ephraim Mcdowell Regional Medical Center Incorporated	KY	General Acute Care Hospital	$0	$60M
G & R Staed, Inc	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12M
D&s Residential Services, LP	KY	Developmental Disabilities Clinic/Center	$0	$9.8M
Family Ties, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$8.7M
Empact Midwest LLC	KY	Emergency Medicine Physician	$0	$7.3M
A1 Case Management	KY	Case Management Agency	$0	$7.1M
Danville Pediatrics And Primary Care, PLLC	KY	Pediatrics Physician	$0	$5.9M
Ekkco Inc.	KY	Adult Care Home Facility	$0	$5.5M
Ich-epg Alliance, LLC	KY	Emergency Medicine Physician	$0	$4.8M
Kentucky Counseling Associates, LLC	KY	Professional Counselor	$0	$4.3M

Addixxion Recovery Of Kentucky, LLC — Billing Profile & Reimbursement Data

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Addixxion Recovery Of Kentucky, 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

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