Residential
Kentucky River Community Care, INC
Kentucky River Community Care, INC was paid $109.24M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 35% of everything it billed.
33Billing provider infoKENTUCKY RIVER COMMUNITY CARE, INC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1316061658assigned 03/19/2007
28Total paid$109.24M
24GClaims874,597
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Kentucky
Rank by total paid#1 of 11
Median peer was paid$6.23M
This provider vs. median18×
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 | 98,724 | $10.19M | |
| 2019 | 135,670 | $12.83M | |
| 2020 | 121,489 | $14.04M | |
| 2021 | 126,935 | $16.22M | |
| 2022 | 125,360 | $16.96M | |
| 2023 | 138,846 | $18.54M | |
| 2024incomplete | 127,573 | $20.47M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 35% | 304,251 | 17,562 | $38.10M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 28% | 129,172 | 4,885 | $31.08M |
| 97535 | Self-care/home management training, each 15 minutes | 18% | 218,171 | 15,158 | $19.90M |
| T2022 | Case management, per month | 4.9% | 24,179 | 19,302 | $5.34M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 4.6% | 66,960 | 3,760 | $5.02M |
| S5108 | Home care training to home care client, per 15 minutes | 4.0% | 49,082 | 2,809 | $4.36M |
| T1005 | Respite care services, up to 15 minutes | 2.7% | 50,595 | 8,950 | $2.91M |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 2.1% | 26,023 | 21,324 | $2.24M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | <1% | 6,007 | 523 | $273K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 99 | 53 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 27 | 14 | $2K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 16 | 12 | $1K |
1 more codes
| 90887 | <1% | 15 | $1K |
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 officialADAMS, MARCIA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Kentucky River Community Care, INC | Hazard, KY | $104.05M |
| Knott County Center for Family Health | Emmalena, KY | $668K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.