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.

Crossroads Counseling Services, Inc. (NPI 1962931972)

Field	Value
Entity Type	Organization
Organization	Crossroads Counseling Services, Inc.
Address	409 W New Circle Rd
City	Lexington
State	KY
ZIP	40511
Taxonomy	Mental Health Counselor
NPI Enumerated	June 5, 2017

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.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2027	Psychoeducational service, per 15 minutes	15,460	$90	$1.4M
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.	13,100	$40	$563.2K
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…	6,100	$60	$390.4K
H2020	Therapeutic behavioral services, per diem	790	$200	$161K
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…	1,820	$80	$147.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,910	$70	$124.2K
T2023	Targeted case management; per month	420	$220	$92.4K
99204	The provider sees a new 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 provider…	1,060	$80	$82.6K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	1,320	$50	$71.2K
H0032	Mental health service plan development by non-physician	1,220	$60	$67K

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

Crossroads Counseling Services, Inc. — 0 of 18 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
H2020	Therapeutic behavioral services, per diem	77	130	1,730	$180	$1.2M
H2027	Psychoeducational service, per 15 minutes	16	220	970	$170	$1.1M
T2023	Targeted case management; per month	286	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…	111	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	169	320	3,070	$50	$678.3K
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.	78	340	2,700	$40	$673.3K
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…	112	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…	187	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…	2,053	3,340	1,020	$30	$296K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	59	220	340	$60	$114.8K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Crossroads Counseling Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Employment Solutions Inc	KY	Developmentally Disabled Services Day Training Agency	$0	$62.6M
Bhg Xxxv, LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$268.7K	$14.4M
Impactlex, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$12.9M
New Vista Behavioral Healthcare Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.3M
Lexar Laboratories & Analysis LLC	KY	Clinical Medical Laboratory	$328.7K	$11.6M
Mercy Ambulance Of Evansville Inc	KY	Ambulance	$494.1K	$2.1M
Peter Roumanos	KY	Physical Medicine & Rehabilitation Physician	$394.1K	$0
Kelly Huynh	KY	Optometrist	$29.1K	$0
Namrata Donthamsetti	KY	Optometrist	$10.5K	$0
Timothy Ainger	KY	Clinical Neuropsychologist	$9.6K	$0

Crossroads Counseling Services, Inc. — Billing Profile & Reimbursement Data

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Crossroads Counseling Services, Inc. — 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