Behavioral
Oliver Winston Behavioral Urgent Care LLC
Oliver Winston Behavioral Urgent Care LLC was paid $4.09M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 52% of everything it billed.
33Billing provider infoOLIVER WINSTON BEHAVIORAL URGENT CARE LLC
LEXINGTON, KY 40504
LEXINGTON, KY 40504
33aNPI1245787084assigned 09/09/2016
33bProvider typeCounselor
28Total paid$4.09M
24GClaims56,675
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Counselor providers in Kentucky
Rank by total paid#10 of 55
Median peer was paid$202K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2018 | 5,932 | $162K | |
| 2019 | 7,037 | $234K | |
| 2020 | 5,108 | $205K | |
| 2021 | 8,005 | $823K | |
| 2022 | 8,738 | $997K | |
| 2023 | 6,745 | $833K | |
| 2024incomplete | 15,110 | $834K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 52% | 22,297 | 1,017 | $2.12M |
| T2023 | Targeted case management; per month | 22% | 3,513 | 3,011 | $917K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.9% | 4,189 | 3,485 | $283K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 7,162 | 4,989 | $209K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.9% | 2,750 | 2,301 | $202K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 2.2% | 1,786 | 1,547 | $90K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.9% | 2,737 | 1,582 | $76K |
| 80305 | <1% | 6,027 | 4,337 | $39K | |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 1,160 | 275 | $30K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 663 | 466 | $20K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,550 | 795 | $19K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 768 | 562 | $17K |
13 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 304 | $17K |
| 99205 | Prolong outpt/office vis | <1% | 192 | $14K |
| H0032 | Mental health service plan development by non-physician | <1% | 310 | $12K |
| H0001 | Alcohol and/or drug assessment | <1% | 213 | $10K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 250 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 164 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 221 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 47 | $1K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 41 | $1K |
| 97154 | <1% | 99 | $722.25 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 25 | $718.30 |
| 99406 | <1% | 127 | $193.68 | |
| 96127 | <1% | 80 | $32.38 |
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 officialPATEL, DHAVAL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Oliver Winston Lab LLC | Lexington, KY | $738K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.