NP / PA
Northern Kentucky Behavioral, LLC
Northern Kentucky Behavioral, LLC was paid $1.31M by Medicaid between Aug 2018 and Nov 2024, across 4 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 46% of everything it billed.
33Billing provider infoNORTHERN KENTUCKY BEHAVIORAL, LLC
ERLANGER, KY 41018
ERLANGER, KY 41018
33aNPI1417486325assigned 06/06/2017
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$1.31M
24GClaims14,229
24DCodes billed4
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Kentucky
Rank by total paid#7 of 122
Median peer was paid$37K
This provider vs. median35×
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 | 1,299 | $47K | |
| 2019 | 2,620 | $163K | |
| 2020 | 3,851 | $247K | |
| 2021 | 1,931 | $147K | |
| 2023 | 1,632 | $280K | |
| 2024incomplete | 2,896 | $428K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 46% | 3,431 | 263 | $602K |
| S9480 | Intensive outpatient psychiatric services, per diem | 40% | 7,352 | 462 | $524K |
| 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 | 8.2% | 2,036 | 107 | $107K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 6.1% | 1,410 | 114 | $80K |
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 officialROURKE, TOM (SENIOR VP FOR DEVELOPMENT)
| Provider | Location | Paid |
|---|---|---|
| Sun Houston, LLC | Houston, TX | $1.93M |
| Sun Behavioral Delaware, LLC | Georgetown, DE | $444K |
| Sun Behavioral Delaware, LLC | Georgetown, DE | $364K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.