Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CUMBERLAND BEHAVIOR GROUP, LLC

NPI: 1184944100 · SOMERSET, KY 42503 · Case Management Agency · NPI assigned 06/02/2010

$15.12M
Total Medicaid Paid
95,344
Total Claims
4,588
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialJONES, ACE (EXECUTIVE DIRECTOR)
NPI Enumeration Date06/02/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,942 $4.24M
2019 30,080 $4.04M
2020 20,821 $3.77M
2021 15,501 $3.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 73,482 2,691 $13.12M
T2021 Day habilitation, waiver; per 15 minutes 16,525 1,016 $1.04M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 1,272 52 $452K
97535 Self-care/home management training, each 15 minutes 3,185 296 $389K
H0004 Behavioral health counseling and therapy, per 15 minutes 880 533 $116K