Clinic
Frontier Behavioral Health Center PLLC
Frontier Behavioral Health Center PLLC was paid $24.21M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is H0011, Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) — 39% of everything it billed.
33Billing provider infoFRONTIER BEHAVIORAL HEALTH CENTER PLLC
SALYERSVILLE, KY 41465
SALYERSVILLE, KY 41465
33aNPI1295287118assigned 10/26/2016
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$24.21M
24GClaims182,285
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Kentucky
Rank by total paid#3 of 28
Median peer was paid$2.73M
This provider vs. median8.9×
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 | 20,204 | $822K | |
| 2019 | 24,292 | $1.30M | |
| 2020 | 14,805 | $1.81M | |
| 2021 | 27,838 | $4.45M | |
| 2022 | 37,306 | $4.60M | |
| 2023 | 24,498 | $5.17M | |
| 2024incomplete | 33,342 | $6.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 39% | 36,572 | 2,310 | $9.35M |
| T2023 | Targeted case management; per month | 21% | 16,586 | 15,256 | $5.06M |
| H2020 | Therapeutic behavioral services, per diem | 11% | 13,634 | 1,240 | $2.57M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 7.5% | 10,038 | 760 | $1.83M |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 7.3% | 7,770 | 601 | $1.77M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.3% | 17,730 | 10,216 | $791K |
| H0038 | Self-help/peer services, per 15 minutes | 2.1% | 28,682 | 16,449 | $511K |
| 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 | 2.0% | 4,565 | 638 | $484K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 15,166 | 6,573 | $475K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.9% | 15,654 | 8,990 | $469K |
| H2027 | Psychoeducational service, per 15 minutes | 1.0% | 3,152 | 1,001 | $244K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 3,055 | 2,633 | $154K |
19 more codes
| 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 | <1% | 1,391 | $139K |
| G0482 | 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; 15-21 drug class(es), including metabolite(s) if performed | <1% | 703 | $90K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,260 | $87K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 2,093 | $59K |
| G0480 | 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; 1-7 drug class(es), including metabolite(s) if performed | <1% | 530 | $45K |
| H0001 | Alcohol and/or drug assessment | <1% | 703 | $38K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 538 | $28K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,197 | $10K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 180 | $9K |
| 99406 | <1% | 554 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 61 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $2K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 155 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 16 | $1K |
| 90839 | <1% | 24 | $882.08 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | $11.16 |
| 99051 | 0% | 140 | $0.00 | |
| 99000 | 0% | 18 | $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.
From NPPES
Who's on the registration
Authorized officialHANA, ANTOIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Albaree Health Services LLC | Salyersville, KY | $10.15M |
| Eastern Kentucky Tender Care Pediatrics LLC | Prestonsburg, KY | $5.24M |
| Martin County Rural Health Clinic PLLC | Inez, KY | $4.23M |
| Alpha Health Services PLLC | Prestonsburg, KY | $1.75M |
| Frontier Medical Associates of Prestonsburg INC | Prestonsburg, KY | $1.73M |
| Frontier Medical Associates of Paintsville INC | Paintsville, KY | $1.03M |
| Samaritan Family Care LLC | Paintsville, KY | $359K |
| Frontier Vision LLC | Prestonsburg, KY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.