Applegate Health Services, INC
Applegate Health Services, INC was paid $310K by Medicaid between Oct 2020 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
BOWLING GREEN, KY 42104
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 350 | $4K | |
| 2021 | 3,961 | $60K | |
| 2022 | 3,937 | $61K | |
| 2023 | 3,713 | $77K | |
| 2024incomplete | 4,851 | $107K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 5,147 | 3,645 | $114K |
| 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 | 21% | 2,114 | 1,537 | $64K |
| T2023 | Targeted case management; per month | 20% | 279 | 243 | $63K |
| 80305 | 10% | 6,324 | 4,352 | $31K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.0% | 309 | 258 | $16K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.2% | 839 | 702 | $10K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 1.5% | 475 | 384 | $5K |
| 81025 | 1.0% | 913 | 700 | $3K | |
| H0001 | Alcohol and/or drug assessment | <1% | 42 | 42 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 27 | 27 | $990.94 |
| 80306 | <1% | 234 | 158 | $815.15 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | 14 | $360.81 |
4 more codes
| 99408 | <1% | 31 | $79.48 | |
| 96127 | <1% | 26 | $45.53 | |
| 96160 | <1% | 19 | $6.98 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 13 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.