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 Health Group, LLC (NPI 1952840860)

Field	Value
Entity Type	Organization
Organization	Bluegrass Behavioral Health Group, LLC
Address	925 Dudley Pike
City	Edgewood
State	KY
ZIP	41017
Taxonomy	Behavior Analyst
NPI Enumerated	February 13, 2017

Payer Source	Total Paid
Medicaid	$23.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	39,070	$350	$13.5M
T2023	Targeted case management; per month	18,790	$260	$4.9M
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…	47,090	$60	$3M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	3,230	$190	$604K
99354	N/A	8,800	$60	$484.1K
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…	10,670	$30	$352.1K
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…	5,650	$40	$242.9K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	4,490	$30	$134.6K
99355	N/A	1,710	$50	$87.1K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	860	$90	$79.3K

Showing 1–10 of 19

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 Health Group, LLC — 2 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	190	310	830	$120	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	12	180	1,320	$220	$1.9M
T2023	Targeted case management; per month	21	530	530	$300	$1.1M
H2015	Comprehensive community support services, per 15 minutes	136	200	1,610	$80	$585.6K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	13	40	1,770	$150	$567.9K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	26	140	460	$70	$475.2K
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…	31	1,270	760	$80	$447.2K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	16	30	910	$130	$217.1K
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…	66	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…	42	90	250	$90	$199.4K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Bluegrass Behavioral Health Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Elizabeth Medical Center, Inc	KY	General Acute Care Hospital	$41.7K	$188.3M
Transitions, Inc.	KY	Substance Abuse Rehabilitation Facility	$0	$31.3M
Compass Emergency Physicians Psc	KY	Emergency Medicine Physician	$0	$28.8M
Redwood School And Rehabilitation Center	KY	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$12M
Radiology Associates Of Northern Kentucky, PLLC	KY	Diagnostic Radiology Physician	$0	$9.4M
Orthocincy Orthopaedics & Sports Medicine Psc	KY	Orthopaedic Surgery Physician	$0	$9.4M
Redwood School And Rehabilitation Center	KY	Community Health Clinic/Center	$0	$9.2M
Interim Healthcare Of Cincinnati, Inc	KY	Home Health Agency	$0	$7.9M
New Perceptions Inc	KY	Developmentally Disabled Services Day Training Agency	$0	$6.5M
St Elizabeth Medical Center, Inc	KY	Community Based Hospice Care Agency	$0	$3M

Bluegrass Behavioral Health Group, LLC — Billing Profile & Reimbursement Data

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Bluegrass Behavioral Health Group, 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