Avalon Psychological Center, PLLC

Avalon Psychological Center, PLLC was paid $1.59M by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is T2023, Targeted case management; per month — 74% of everything it billed.

33Billing provider infoAVALON PSYCHOLOGICAL CENTER, PLLC
SOMERSET, KY 42501

33aNPI1295018331assigned 09/26/2011

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$1.59M

24GClaims9,550

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

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

Rank by total paid#36 of 112

Median peer was paid$240K

This provider vs. median6.6×

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	708	$34K
2019	1,362	$138K
2020	2,090	$200K
2021	2,190	$229K
2022	888	$196K
2023	1,379	$440K
2024incomplete	933	$351K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2023	Targeted case management; per month	74%	3,739	3,110	$1.18M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	26%	5,713	1,654	$406K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	49	45	$2K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	49	34	$356.91

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 officialBAKER, VAUNETTE (OWNER)