Physician
Hartoria Health Services LLC
Hartoria Health Services LLC was paid $1.67M by Medicaid between Jun 2019 and Nov 2024, across 21 billing codes. Its largest line is T2023, Targeted case management; per month — 39% of everything it billed.
33Billing provider infoHARTORIA HEALTH SERVICES LLC
LEXINGTON, KY 40517
LEXINGTON, KY 40517
33aNPI1467918201assigned 02/18/2019
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$1.67M
24GClaims31,505
24DCodes billed21
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Kentucky
Rank by total paid#6 of 20
Median peer was paid$136K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2019 | 1,660 | $55K | |
| 2020 | 4,727 | $225K | |
| 2021 | 7,329 | $385K | |
| 2022 | 7,025 | $374K | |
| 2023 | 5,588 | $293K | |
| 2024incomplete | 5,176 | $344K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 39% | 2,733 | 2,204 | $651K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 9,639 | 5,797 | $416K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 16% | 6,212 | 3,442 | $265K |
| H2027 | Psychoeducational service, per 15 minutes | 7.0% | 872 | 559 | $118K |
| H0038 | Self-help/peer services, per 15 minutes | 3.3% | 4,752 | 2,807 | $55K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.4% | 1,185 | 845 | $39K |
| 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 | 2.1% | 641 | 430 | $36K |
| 80305 | 1.5% | 2,896 | 1,744 | $25K | |
| H0001 | Alcohol and/or drug assessment | 1.1% | 346 | 314 | $19K |
| 80306 | <1% | 1,192 | 591 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 482 | 399 | $11K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 79 | 74 | $7K |
9 more codes
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 102 | $5K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 71 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 36 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 111 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 22 | $2K |
| H0032 | Mental health service plan development by non-physician | <1% | 31 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 17 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $1K |
| 99406 | <1% | 73 | $501.69 |
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 officialTOVAR, JESUS (OWNER)