Applegate Health Services, INC
Applegate Health Services, INC was paid $338K by Medicaid between Jul 2020 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
CRESTVIEW HILLS, KY 41017
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,371 | $10K | |
| 2021 | 6,286 | $76K | |
| 2022 | 6,601 | $91K | |
| 2023 | 7,220 | $112K | |
| 2024incomplete | 3,716 | $50K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 9,466 | 6,143 | $180K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25% | 2,584 | 1,876 | $83K |
| 80305 | 14% | 10,007 | 6,600 | $49K | |
| T2023 | Targeted case management; per month | 4.2% | 195 | 110 | $14K |
| 81025 | 1.2% | 1,374 | 1,057 | $4K | |
| 99406 | <1% | 501 | 383 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 75 | 58 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 54 | 54 | $1K |
| 96127 | <1% | 452 | 246 | $817.47 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 18 | 15 | $544.25 |
| 99408 | <1% | 123 | 92 | $494.28 | |
| H0001 | Alcohol and/or drug assessment | <1% | 16 | 16 | $465.24 |
5 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 15 | $327.08 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 16 | $286.37 |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 50 | $132.90 |
| 96160 | <1% | 106 | $41.06 | |
| S9475 | Ambulatory setting substance abuse treatment or detoxification services, per diem | 0% | 142 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.