Carnes, Fallon

Carnes, Fallon was paid $16K by Medicaid between Nov 2023 and Dec 2023, across 2 billing codes. Its largest line is H2027, Psychoeducational service, per 15 minutes — 92% of everything it billed.

33Billing provider infoCARNES, FALLON
NICHOLASVILLE, KY 40356

33aNPI1225556871assigned 09/05/2017

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$16K

24GClaims165

24DCodes billed2

24AFirst – last monthNov 2023 – Dec 2023

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky

Rank by total paid#89 of 112

Median peer was paid$240K

This provider vs. median0.1×

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
2023	165	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2027	Psychoeducational service, per 15 minutes	92%	126	52	$15K
H0038	Self-help/peer services, per 15 minutes	7.9%	39	13	$1K

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.