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    OpenPayerNPI Medicare & MedicaidCumberland Valley District Health Department
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    Cumberland Valley District Health Department — Billing Profile & Reimbursement Data

    NPI 1982762514 · Manchester, KY · Home Health Agency

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    Cumberland Valley District Health Department is a home health agency provider located in Manchester, Kentucky. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCumberland Valley District Health Department
    Address470 Manchester Square Shpg Ctr
    CityManchester
    StateKY
    ZIP40962
    TaxonomyHome Health Agency
    NPI EnumeratedDecember 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes10,250$70$696.7K
    T4541Incontinence product, disposable underpad, large, each6,660$80$552.8K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each1,980$220$440.9K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each2,270$190$428.3K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each1,540$180$283.5K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes3,600$50$194.5K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each2,420$80$186.4K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes340$40$14.1K
    T4532Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each40$230$9.2K
    A4217Sterile water/saline, 500 ml20$1$90

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4541Incontinence product, disposable underpad, large, each6401,670$210$1.4M
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each720920$370$1.2M
    T4532Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each810150$380$1.1M
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each720780$270$893.4K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each730350$280$862.8K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each6201,140$110$634.4K
    Q5001Hospice or home health care provided in patient's home/residence4170310$180$542K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes231003,770$40$302.1K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes1560790$70$172.6K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes2430740$60$73.5K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Cumberland Valley District Health Department, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Hospital, Inc.KYRural Acute Care Hospital$0$46.8M
    Memorial Hospital Inc.KYRural Health Clinic/Center$0$12.4M
    Clay Community Foundations, LLCKYIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$7.4M
    Mountain Family Practice Clinic Of Manchester IncKYRural Health Clinic/Center$0$4.6M
    Air Evac Ems IncKYAir Ambulance$566.7K$3.6M
    Family Health Care AssociatesKYRural Health Clinic/Center$0$4.1M
    Clay County Fiscal CourtKYLand Ambulance$399.1K$1.6M
    Keerthana KarumbaiahKYCardiovascular Disease Physician$432.3K$0
    Gregory WilkensKYSurgery Physician$20.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Cumberland Valley District Health Department — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky