Behavioral
Protea Behavioral Health Counseling, PLLC
Protea Behavioral Health Counseling, PLLC was paid $24.35M by Medicaid between Jul 2021 and Dec 2024, across 33 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 29% of everything it billed.
33Billing provider infoPROTEA BEHAVIORAL HEALTH COUNSELING, PLLC
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1205429800assigned 02/15/2021
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$24.35M
24GClaims220,267
24DCodes billed33
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#2 of 112
Median peer was paid$240K
This provider vs. median101×
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 | 3,945 | $764K | |
| 2022 | 49,074 | $9.00M | |
| 2023 | 90,492 | $9.21M | |
| 2024incomplete | 76,756 | $5.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 29% | 58,683 | 8,257 | $7.04M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 22% | 37,541 | 6,548 | $5.29M |
| 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 | 15% | 31,647 | 4,040 | $3.70M |
| H2020 | Therapeutic behavioral services, per diem | 11% | 16,026 | 1,732 | $2.77M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.8% | 14,463 | 5,650 | $933K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 3.8% | 5,643 | 454 | $927K |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 3.7% | 5,407 | 348 | $909K |
| T2023 | Targeted case management; per month | 3.0% | 2,780 | 2,500 | $731K |
| H2027 | Psychoeducational service, per 15 minutes | 3.0% | 5,094 | 1,224 | $722K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.4% | 5,435 | 773 | $336K |
| H0049 | Alcohol and/or drug screening | <1% | 13,427 | 5,269 | $201K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,118 | 1,900 | $165K |
21 more codes
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 2,010 | $105K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,699 | $88K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,426 | $79K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 1,269 | $61K |
| H0006 | Alcohol and/or drug services; case management | <1% | 674 | $61K |
| 80305 | <1% | 4,745 | $37K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 749 | $31K |
| 99408 | <1% | 2,315 | $30K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,792 | $28K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 587 | $24K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 536 | $19K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 351 | $17K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 108 | $9K |
| 90785 | <1% | 950 | $6K | |
| 90887 | <1% | 172 | $5K | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 304 | $4K |
| 96156 | <1% | 143 | $4K | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 53 | $4K |
| 90836 | <1% | 47 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 58 | $178.36 |
| 99409 | 0% | 15 | $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 officialFIELDS, KRISTEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| In Control Physical Therapy LLC | Wichita, KS | $73K |
| Protea Behavioral Health Counseling, PLLC | Dayton, OH | $16K |
| Integrative Center for Therapy P.A. | Wichita, KS | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.