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 Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Kes Inc (NPI 1972632693)

Field	Value
Entity Type	Organization
Organization	Kes Inc
Address	6615 Tribble St
City	Lithonia
State	GA
ZIP	30058
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Key Findings

KES INC is effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider reports $12.7M in total Medicaid revenue, indicating near-total dependence on Medicaid as its payer base. This single-payer concentration shapes both its revenue stability and exposure to state Medicaid policy and rate changes.

Revenue is extremely concentrated in a very small set of service lines: the top three Medicaid codes account for 99.4% of the provider's Medicaid revenue. Specifically, T2025 generates $6.8M (53.6% of the provider's Medicaid revenue), T2033 generates $5.7M (44.5%), and 90837 generates $165.8K (1.3%), which together dominate the revenue mix.

The code mix points to a primarily facility- and waiver-driven residential operation: T2025 (waiver services, NOS) and T2033 (residential care, per diem) together make up the vast majority of revenue and indicate the provider operates with a per-diem/waiver funding model rather than fee-for-service medical billing. The claim volumes—16.3K claims for T2025 and 4.1K claims for T2033—plus the $418 avg paid/claim for T2025 and $1370 avg paid/claim for T2033 reinforce that revenue is driven by recurring residential/waiver encounters.

Competitive standing across its top codes is mixed at the state level: for T2025 the provider ranks #15 of 30 providers in-state (52th percentile; typical, unremarkable volume for this code), and for T2033 it ranks #8 of 10 providers in-state (22th percentile; typical, unremarkable volume for this code), suggesting a modest presence for waiver services and a weaker standing among residential per-diem providers. By contrast, for psychotherapy code 90837 the provider ranks #177 of 884 providers in-state (80th percentile; typical, unremarkable volume for this code), indicating relatively higher percentile placement for psychotherapy activity despite its small revenue share.

Behavioral health services are present but constitute a small share of revenue: 90837 accounts for $165.8K and 1.3% of Medicaid revenue, and other behavioral/plan-development codes appear at substantially lower levels (for example, H2015 $36.5K, H0032 $13.3K, H0031 $7.3K). This suggests KES INC provides integrated behavioral health supports within a predominantly residential/waiver delivery model rather than operating primarily as an outpatient psychotherapy practice.

The provider’s payment-per-claim profile reinforces a per-diem/residential orientation: the $1370 avg paid/claim for T2033 is consistent with higher per-day residential reimbursements while the $418 avg paid/claim for T2025 reflects substantial per-claim waiver payments. Those higher per-claim amounts combined with high claim counts for T2025 (16.3K) signal that service volume and daily rates together drive most revenue.

Operationally, KES INC’s long tenure in the Medicaid system may support continuity of contracts and relationships: the NPI was enumerated 2007-03-06 (~19 years ago). However, the business remains vulnerable to shifts in Medicaid waiver rules or per-diem rate changes because the vast majority of revenue is concentrated in a small number of waiver/residential codes (top three codes = 99.4% of Medicaid revenue).

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	16,280	$420	$6.8M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	4,130	$1,370	$5.7M
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…	1,950	$90	$165.8K
H2015	Comprehensive community support services, per 15 minutes	650	$60	$36.5K
H0032	Mental health service plan development by non-physician	200	$70	$13.3K
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…	130	$70	$8.4K
H0031	Mental health assessment, by non-physician	60	$130	$7.3K
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…	190	$40	$6.9K
T1003	Lpn/lvn services, up to 15 minutes	170	$30	$4.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	20	$130	$2.3K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Kes Inc — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	8	10	32,460	$440	$30.4M
T2025	Waiver services; not otherwise specified (nos)	15	30	15,890	$130	$7.5M
T1003	Lpn/lvn services, up to 15 minutes	16	20	470	$150	$1.1M
H2015	Comprehensive community support services, per 15 minutes	28	40	2,260	$70	$518.1K
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…	543	820	390	$70	$245K
H0031	Mental health assessment, by non-physician	42	80	80	$110	$233.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	22	20	270	$60	$173.9K
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…	177	880	410	$90	$148.7K
H0032	Mental health service plan development by non-physician	28	70	70	$90	$96.9K
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…	72	140	210	$80	$54.1K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louis Lee	GA	Internal Medicine Physician	$0	$1.6M
Grace Care Ambulance Transport, LLC	GA	Land Ambulance	$431.9K	$0
Southeast Atlanta Vascular Care, LLC	GA	Ambulatory Surgical Clinic/Center	$390.1K	$0
Timothy Milner	GA	Vascular Surgery Physician	$384.6K	$0
Celine's Family Service, Inc	GA	Mental Illness Community Based Residential Treatment Facility	$0	$339.1K
Pascal Crosley	GA	Emergency Medicine Physician	$83.4K	$36.2K
Penelope Mccown	GA	Family Nurse Practitioner	$38.9K	$0
Catherine Taylor	GA	Hand Occupational Therapist	$13.8K	$0
Karlene Drummer	GU	Family Medicine Physician	$4.7K	$0

Kes Inc — Billing Profile & Reimbursement Data

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Kes Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References