Agency
Highland Rivers Community Service Board
Highland Rivers Community Service Board was paid $44.03M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is T2017, Habilitation, residential, waiver; 15 minutes — 20% of everything it billed.
33Billing provider infoHIGHLAND RIVERS COMMUNITY SERVICE BOARD
DALTON, GA 30720
DALTON, GA 30720
33aNPI1447256243assigned 06/27/2005
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$44.03M
24GClaims548,519
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Georgia
Rank by total paid#1 of 5
Median peer was paid$3.45M
This provider vs. median13×
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 | 76,518 | $5.83M | |
| 2019 | 80,571 | $6.28M | |
| 2020 | 63,164 | $4.96M | |
| 2021 | 68,104 | $5.44M | |
| 2022 | 86,414 | $6.98M | |
| 2023 | 97,992 | $7.89M | |
| 2024incomplete | 75,756 | $6.65M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2017 | Habilitation, residential, waiver; 15 minutes | 20% | 66,281 | 2,269 | $9.01M |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 9.9% | 57,149 | 4,445 | $4.34M |
| H0038 | Self-help/peer services, per 15 minutes | 7.9% | 64,450 | 7,507 | $3.47M |
| T1003 | Lpn/lvn services, up to 15 minutes | 7.1% | 24,449 | 6,743 | $3.15M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.1% | 38,714 | 26,155 | $3.11M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 5.7% | 12,171 | 420 | $2.51M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 5.4% | 25,386 | 4,358 | $2.38M |
| T1016 | Case management, each 15 minutes | 4.9% | 28,744 | 10,314 | $2.17M |
| H0031 | Mental health assessment, by non-physician | 4.8% | 17,967 | 16,732 | $2.09M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.3% | 22,547 | 17,021 | $1.47M |
| 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 | 3.2% | 24,244 | 20,136 | $1.40M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 3.0% | 21,345 | 10,379 | $1.32M |
27 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.6% | 10,467 | $1.14M |
| T2028 | Specialized supply, not otherwise specified, waiver | 2.4% | 7,472 | $1.04M |
| 99213 | Doctor's office visit, returning patient (routine) | 2.3% | 23,509 | $1.02M |
| T1002 | Rn services, up to 15 minutes | 1.3% | 11,975 | $574K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.2% | 12,371 | $540K |
| H2015 | Community support for mental illness or disability, per 15 minutes | 1.2% | 8,881 | $508K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 6,649 | $463K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 12,561 | $425K |
| T1001 | Nursing assessment / evaluation | <1% | 4,779 | $402K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12,339 | $351K |
| H0032 | Mental health service plan development by non-physician | <1% | 4,545 | $335K |
| 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 | <1% | 3,007 | $205K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 6,016 | $203K |
| Q3014 | Telehealth originating site facility fee | <1% | 8,057 | $110K |
| H2014 | Skills training and development, per 15 minutes | <1% | 3,071 | $92K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,001 | $75K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,696 | $63K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 957 | $22K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | <1% | 122 | $12K |
| 90785 | <1% | 2,252 | $9K | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 114 | $7K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 68 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 341 | $4K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 52 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 718 | $2K |
| 99442 | 0% | 715 | $0.00 | |
| 99443 | 0% | 337 | $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.
From NPPES
Who's on the registration
Authorized officialDALLAS, MELANIE (CEO)