Behavioral
NPI deactivated
Wellspring Counseling Ky
Wellspring Counseling Ky was paid $5.16M by Medicaid between May 2018 and Dec 2024, across 34 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 41% of everything it billed.
33Billing provider infoWELLSPRING COUNSELING KY
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1053828293assigned 01/09/2018
33bProvider typeProfessional Counselor
28Total paid$5.16M
24GClaims91,463
24DCodes billed34
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#20 of 255
Median peer was paid$129K
This provider vs. median40×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,340 | $229K | |
| 2019 | 9,574 | $573K | |
| 2020 | 20,505 | $920K | |
| 2021 | 15,938 | $722K | |
| 2022 | 13,485 | $695K | |
| 2023 | 12,213 | $830K | |
| 2024incomplete | 16,408 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 41% | 30,306 | 13,218 | $2.11M |
| T2023 | Targeted case management; per month | 29% | 4,999 | 4,224 | $1.48M |
| H0032 | Mental health service plan development by non-physician | 7.9% | 7,425 | 6,880 | $406K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.6% | 5,613 | 3,319 | $187K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 3,707 | 2,774 | $167K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 3.0% | 2,831 | 2,587 | $156K |
| 90785 | 2.1% | 15,610 | 6,563 | $108K | |
| H0031 | Mental health assessment, by non-physician | 2.0% | 1,786 | 1,577 | $101K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.8% | 1,372 | 1,227 | $93K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.5% | 1,828 | 1,536 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 2,224 | 1,952 | $68K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 624 | 558 | $45K |
22 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,288 | $43K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 2,095 | $28K |
| 99205 | Prolong outpt/office vis | <1% | 208 | $17K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 247 | $17K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 1,736 | $13K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 422 | $10K |
| 99354 | <1% | 161 | $8K | |
| 96137 | <1% | 50 | $5K | |
| 96131 | <1% | 27 | $2K | |
| 99072 | <1% | 3,709 | $2K | |
| 96130 | <1% | 28 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 91 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | $1K |
| 80305 | <1% | 604 | $1K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 19 | $990.92 |
| 96136 | <1% | 50 | $932.39 | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 116 | $889.72 |
| 96127 | <1% | 1,929 | $667.23 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 45 | $233.68 |
| 99051 | 0% | 164 | $0.00 | |
| 888888 | 0% | 39 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWHITAKER, TRICIA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Wellsprings Wellness LLC | Somerset, KY | $1.95M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.