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.

Kentucky Rural Health Information Technology Network, Inc. (NPI 1972063204)

Field	Value
Entity Type	Organization
Organization	Kentucky Rural Health Information Technology Network, Inc.
Address	934 S. Laurel Rd.
City	London
State	KY
ZIP	40744
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	March 22, 2019

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	5,370	$290	$1.6M
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…	33,360	$40	$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.	25,040	$50	$1.1M
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…	16,820	$30	$555.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	12,110	$40	$448K
H0038	Self‑help/peer services, per 15 minutes	11,670	$20	$221.7K
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…	1,670	$110	$187.2K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	2,660	$20	$55.8K
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…	860	$50	$43.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	580	$80	$43.5K

Showing 1–10 of 20

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

Kentucky Rural Health Information Technology Network, Inc. — 2 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	74	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…	116	230	1,750	$110	$793.5K
H0038	Self‑help/peer services, per 15 minutes	84	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.	46	340	2,700	$40	$673.3K
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…	1,038	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…	193	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…	1,078	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…	41	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…	343	500	250	$60	$152.8K
H0032	Mental health service plan development by non-physician	138	380	160	$70	$107.8K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kentucky Rural Health Information Technology Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harold Reedy	KY	Diagnostic Radiology Physician	$138.1K	$8.6K
Richard Carter	KY	Family Medicine Physician	$10.1K	$0

Nearby Providers

Other providers in the same ZIP code as Kentucky Rural Health Information Technology Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Support Services, Inc.	KY	Community/Behavioral Health Agency	$0	$35.7M
Cumberland Valley Area Agency On Aging	KY	Supports Brokerage Agency	$0	$29.9M
Professional Home Health Care Agency, Inc.	KY	Home Health Agency	$0	$16.4M
Second Mile Behavioral Health LLC	KY	Community/Behavioral Health Agency	$0	$14.4M
Courage To Change, Inc.	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.7M
Alexander And Associates Speech Language Pathology LLC	KY	Speech-Language Pathologist	$0	$5.1M
Case Managment Options Of Kentucky	KY	Case Management Agency	$0	$3.9M
Air Evac Ems, Inc.	KY	Air Ambulance	$257.4K	$525.4K

Kentucky Rural Health Information Technology Network, Inc. — Billing Profile & Reimbursement Data

Sign up for Kentucky Rural Health Information Technology Network, Inc. — Billing Profile & Reimbursement Data policy alerts

Kentucky Rural Health Information Technology Network, Inc. — Billing Profile & Reimbursement Data

Sign up for Kentucky Rural Health Information Technology Network, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References