NP / PA
Cumberland Mountain Behavioral Health
Cumberland Mountain Behavioral Health was paid $213K by Medicaid between Apr 2023 and Nov 2024, across 13 billing codes. Its largest line is T2023, Targeted case management; per month — 31% of everything it billed.
33Billing provider infoCUMBERLAND MOUNTAIN BEHAVIORAL HEALTH
WILLIAMSBURG, KY 40769
WILLIAMSBURG, KY 40769
33aNPI1457012486assigned 01/03/2022
33bProvider typeNurse Practitioner
28Total paid$213K
24GClaims4,234
24DCodes billed13
24AFirst – last monthApr 2023 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#97 of 260
Median peer was paid$89K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2023 | 236 | $5K | |
| 2024incomplete | 3,998 | $209K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 31% | 416 | 349 | $65K |
| 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 | 18% | 359 | 27 | $39K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 16% | 244 | 26 | $33K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.9% | 609 | 228 | $21K |
| 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 | 9.0% | 726 | 482 | $19K |
| H0038 | Self-help/peer services, per 15 minutes | 5.1% | 430 | 27 | $11K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 3.1% | 434 | 248 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 346 | 280 | $6K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 2.4% | 134 | 42 | $5K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 81 | 53 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 41 | 24 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 48 | 23 | $1K |
1 more codes
| 90785 | <1% | 366 | $760.60 |
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 officialBAKER, CAILEN (OWNER)