Behavioral
Catalyst Management Incorporated
Catalyst Management Incorporated was paid $856K by Medicaid between Jan 2018 and Dec 2021, across 14 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 50% of everything it billed.
33Billing provider infoCATALYST MANAGEMENT INCORPORATED
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1114187234assigned 06/12/2008
33bProvider typeProfessional Counselor
28Total paid$856K
24GClaims12,972
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#48 of 255
Median peer was paid$129K
This provider vs. median6.7×
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 | 4,295 | $240K | |
| 2019 | 4,790 | $289K | |
| 2020 | 2,658 | $210K | |
| 2021 | 1,229 | $117K |
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 | 50% | 7,881 | 2,585 | $429K |
| T2023 | Targeted case management; per month | 39% | 1,544 | 1,043 | $333K |
| 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 | 3.4% | 989 | 655 | $29K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.5% | 872 | 630 | $22K |
| 99205 | Prolong outpt/office vis | 1.5% | 191 | 144 | $13K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 409 | 131 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 460 | 341 | $10K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 164 | 69 | $4K |
| 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% | 64 | 41 | $2K |
| 90785 | <1% | 211 | 95 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 74 | 48 | $524.91 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 47 | 33 | $331.47 |
2 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.
From NPPES
Who's on the registration
Authorized officialCLARK, JANICE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Opportunities, INC. | Somerset, KY | $14.08M |
| Anniston Pediatrics, INC | Anniston, AL | $5.70M |
| Janice D Clark, DDS, PA | Youngsville, NC | $550K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.