Behavioral
Rust, Theresa
Rust, Theresa was paid $4.89M by Medicaid between Oct 2021 and Apr 2024, across 17 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 31% of everything it billed.
33Billing provider infoRUST, THERESA
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1093197089assigned 06/25/2015
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$4.89M
24GClaims36,704
24DCodes billed17
24AFirst – last monthOct 2021 – Apr 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#13 of 112
Median peer was paid$240K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2021 | 283 | $71K | |
| 2022 | 13,630 | $2.47M | |
| 2023 | 22,739 | $2.35M | |
| 2024incomplete | 52 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 31% | 7,003 | 1,980 | $1.52M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 25% | 5,105 | 1,664 | $1.23M |
| H2020 | Therapeutic behavioral services, per diem | 23% | 7,816 | 800 | $1.15M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 9.4% | 4,405 | 642 | $462K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.6% | 3,766 | 1,355 | $178K |
| T2023 | Targeted case management; per month | 3.4% | 836 | 813 | $167K |
| H0049 | Alcohol and/or drug screening | <1% | 4,072 | 1,547 | $46K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 829 | 183 | $33K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 461 | 441 | $31K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 308 | 67 | $26K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 434 | 420 | $20K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 555 | 331 | $14K |
5 more codes
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.