Residential
Isaiah House, INC.
Isaiah House, INC. was paid $94.70M by Medicaid between Jul 2018 and Dec 2024, across 31 billing codes. Its largest line is H0011, Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) — 60% of everything it billed.
33Billing provider infoISAIAH HOUSE, INC.
WILLISBURG, KY 40078
WILLISBURG, KY 40078
33aNPI1396086559assigned 03/12/2013
33bProvider typeSubstance Abuse Rehabilitation Facility
28Total paid$94.70M
24GClaims532,833
24DCodes billed31
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Substance Abuse Rehabilitation Facility providers in Kentucky
Rank by total paid#1 of 51
Median peer was paid$3.26M
This provider vs. median29×
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 | 323 | $68K | |
| 2019 | 8,522 | $1.11M | |
| 2020 | 52,221 | $7.80M | |
| 2021 | 90,323 | $14.52M | |
| 2022 | 104,788 | $18.74M | |
| 2023 | 130,833 | $24.99M | |
| 2024incomplete | 145,823 | $27.47M |
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) | 60% | 215,129 | 18,445 | $56.74M |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 14% | 58,599 | 4,768 | $13.56M |
| H2027 | Psychoeducational service, per 15 minutes | 14% | 76,455 | 15,242 | $13.24M |
| 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 | 3.0% | 26,304 | 5,388 | $2.82M |
| H0038 | Self-help/peer services, per 15 minutes | 2.7% | 93,028 | 13,372 | $2.55M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 2.3% | 11,325 | 1,023 | $2.15M |
| T2023 | Targeted case management; per month | 1.5% | 4,769 | 4,272 | $1.42M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.1% | 22,213 | 14,482 | $1.00M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 4,379 | 2,844 | $316K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 4,286 | 3,120 | $163K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 2,357 | 2,192 | $149K |
| H0001 | Alcohol and/or drug assessment | <1% | 2,353 | 2,196 | $147K |
19 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,933 | $99K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,280 | $83K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,952 | $71K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | <1% | 332 | $43K |
| 99205 | Prolong outpt/office vis | <1% | 377 | $34K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 661 | $31K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,322 | $23K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 330 | $21K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 287 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 707 | $9K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 510 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 719 | $2K |
| H0031 | Mental health assessment, by non-physician | <1% | 14 | $634.57 |
| 90785 | <1% | 57 | $368.92 | |
| 90849 | <1% | 17 | $248.39 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 22 | $136.50 |
| 96127 | <1% | 73 | $130.15 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 25 | $67.23 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 | <1% | 18 | $58.75 |
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 officialLAPALME, MARK (EXECUTIVE DIRECTOR)