Behavioral
Gaines & Associates Counseling of the Commonwealth LLC
Gaines & Associates Counseling of the Commonwealth LLC was paid $1.64M by Medicaid between Jan 2020 and Dec 2024, across 8 billing codes. Its largest line is T2023, Targeted case management; per month — 52% of everything it billed.
33Billing provider infoGAINES & ASSOCIATES COUNSELING OF THE COMMONWEALTH LLC
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1114484649assigned 02/20/2019
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$1.64M
24GClaims14,372
24DCodes billed8
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#35 of 112
Median peer was paid$240K
This provider vs. median6.8×
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 | |
|---|---|---|---|
| 2020 | 1,605 | $154K | |
| 2021 | 3,326 | $343K | |
| 2022 | 2,961 | $394K | |
| 2023 | 3,079 | $365K | |
| 2024incomplete | 3,401 | $385K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 52% | 2,544 | 2,360 | $861K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 43% | 9,986 | 3,432 | $702K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.5% | 1,487 | 836 | $58K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 96 | 37 | $5K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 64 | 62 | $5K |
| 99354 | <1% | 87 | 49 | $5K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 89 | 69 | $4K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 19 | 12 | $429.18 |
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 officialGAINES, TONI (OWNER, COUNSELOR)