National Behavioral Health

National Behavioral Health was paid $1.46M by Medicaid between Jan 2018 and Jun 2021, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoNATIONAL BEHAVIORAL HEALTH
LEXINGTON, KY 40514

33aNPI1093108474assigned 03/10/2015

33bProvider typePsychiatry Physician

28Total paid$1.46M

24GClaims44,456

24DCodes billed28

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Psychiatry Physician providers in Kentucky

Rank by total paid#10 of 73

Median peer was paid$137K

This provider vs. median11×

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	23,634	$663K
2019	13,157	$504K
2020	5,976	$214K
2021	1,689	$78K

Box 24 · Service lines

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	32%	13,246	7,511	$469K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	18%	4,417	2,676	$264K
T2023	Targeted case management; per month	12%	741	558	$178K
80305		7.4%	11,637	4,839	$108K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	7.0%	3,303	2,339	$102K
90792	Psychiatric diagnostic evaluation with medical services	6.9%	1,187	1,024	$100K
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	5.4%	1,550	1,137	$79K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	2.7%	951	750	$39K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	2.2%	947	690	$33K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.5%	398	257	$22K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.3%	496	243	$19K
99223	Prolong inpt eval add15 m	1.2%	165	152	$18K

16 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.1%	1,222	$16K
99215	Doctor's office visit, returning patient (complex)	<1%	151	$11K
99239	Hospital discharge day management, more than 30 minutes	<1%	29	$2K
81025		<1%	195	$909.89
99051		<1%	102	$148.50
96127		<1%	203	$52.54
96160		<1%	42	$20.28
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	642	$0.03
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	0%	474	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	641	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	385	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	232	$0.00
4004F		0%	96	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	384	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	376	$0.00
1111F		0%	244	$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 officialALI, OSAMA (OWNER)