Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KENTUCKY RIVER COMMUNITY CARE, INC

NPI: 1316061658 · HAZARD, KY 41701 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 03/19/2007

$109.24M
Total Medicaid Paid
874,597
Total Claims
94,364
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialADAMS, MARCIA (CFO)
NPI Enumeration Date03/19/2007

Related Entities

Other providers sharing the same authorized official: ADAMS, MARCIA

ProviderCityStateTotal Paid
KENTUCKY RIVER COMMUNITY CARE, INC HAZARD KY $104.05M
KNOTT COUNTY CENTER FOR FAMILY HEALTH EMMALENA KY $668K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 127,573 $20.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal 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) 304,251 17,562 $38.10M
T2016 Habilitation, residential, waiver; per diem 129,172 4,885 $31.08M
97535 Self-care/home management training, each 15 minutes 218,171 15,158 $19.90M
T2022 Case management, per month 24,179 19,302 $5.34M
T2021 Day habilitation, waiver; per 15 minutes 66,960 3,760 $5.02M
S5108 Home care training to home care client, per 15 minutes 49,082 2,809 $4.36M
T1005 Respite care services, up to 15 minutes 50,595 8,950 $2.91M
T2040 Financial management, self-directed, waiver; per 15 minutes 26,023 21,324 $2.24M
S5130 Homemaker service, nos; per 15 minutes 6,007 523 $273K
90832 Psychotherapy, 30 minutes with patient 99 53 $3K
90834 Psychotherapy, 45 minutes with patient 27 14 $2K
90837 Psychotherapy, 53 minutes with patient 16 12 $1K
90887 15 12 $1K