Guiding Grace
Guiding Grace was paid $82K by Medicaid between Dec 2018 and Oct 2019, across 10 billing codes. Its largest line is 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 — 47% of everything it billed.
JUNCTION CITY, KY 40440
Next to other Community/Behavioral Health Agency providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 26 | $1K | |
| 2019 | 1,392 | $81K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 530 | 55 | $39K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 31% | 418 | 194 | $25K |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 6.4% | 123 | 47 | $5K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 5.1% | 79 | 75 | $4K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 4.1% | 67 | 57 | $3K |
| H0031 | Mental health assessment, by non-physician | 3.9% | 64 | 55 | $3K |
| H0001 | Alcohol and/or drug assessment | 2.4% | 43 | 34 | $2K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 45 | 19 | $539.16 |
| 80305 | 0% | 27 | 17 | $0.00 | |
| 80377 | 0% | 22 | 12 | $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.