Pike County Recovery Council INC
Pike County Recovery Council INC was paid $49.44M by Medicaid between Jan 2018 and Dec 2024, across 20 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 — 39% of everything it billed.
WAVERLY, OH 45690
Next to other Public Health or Welfare Agency providers in Ohio
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 | 126,304 | $9.48M | |
| 2019 | 89,102 | $7.96M | |
| 2020 | 78,558 | $6.28M | |
| 2021 | 67,799 | $6.00M | |
| 2022 | 85,648 | $7.24M | |
| 2023 | 85,161 | $7.22M | |
| 2024incomplete | 54,652 | $5.27M |
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 | 39% | 135,183 | 33,100 | $19.28M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 36% | 85,286 | 6,229 | $17.56M |
| H0006 | Alcohol and/or drug services; case management | 9.5% | 157,275 | 42,958 | $4.69M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 8.6% | 104,346 | 35,422 | $4.23M |
| T1003 | Lpn/lvn services, up to 15 minutes | 2.4% | 42,244 | 5,831 | $1.17M |
| T1002 | Rn services, up to 15 minutes | 1.9% | 23,332 | 6,556 | $927K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 6,960 | 3,337 | $623K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 20,886 | 8,721 | $294K |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | <1% | 886 | 171 | $227K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 2,605 | 1,021 | $203K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,612 | 1,771 | $87K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 844 | 468 | $48K |
8 more codes
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,374 | $38K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 774 | $33K |
| 99355 | <1% | 137 | $12K | |
| 99354 | <1% | 149 | $9K | |
| 90785 | <1% | 265 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 15 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 18 | $1K |
| H2020 | Therapeutic behavioral services, per diem | 0% | 33 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pike County Recovery Council INC | Waverly, OH | $3.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.