Agency
Cascades of the Bluegrass
Cascades of the Bluegrass was paid $571K by Medicaid between Jan 2018 and May 2019, across 3 billing codes. Its largest line is 97535, Self-care/home management training, each 15 minutes — 96% of everything it billed.
33Billing provider infoCASCADES OF THE BLUEGRASS
LEXINGTON, KY 40511
LEXINGTON, KY 40511
33aNPI1326298431assigned 09/25/2008
33bProvider typeCase Management Agency
28Total paid$571K
24GClaims5,038
24DCodes billed3
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Case Management Agency providers in Kentucky
Rank by total paid#69 of 94
Median peer was paid$3.21M
This provider vs. median0.2×
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 | 3,405 | $375K | |
| 2019 | 1,633 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97535 | Self-care/home management training, each 15 minutes | 96% | 4,904 | 534 | $546K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3.4% | 60 | 12 | $20K |
| T1005 | Respite care services, up to 15 minutes | 1.1% | 74 | 25 | $6K |
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 officialORWICK, DAVID (OWNER)