Behavioral
Twin Lakes Counseling Services, LLC
Twin Lakes Counseling Services, LLC was paid $18.05M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T2023, Targeted case management; per month — 32% of everything it billed.
33Billing provider infoTWIN LAKES COUNSELING SERVICES, LLC
LEITCHFIELD, KY 42754
LEITCHFIELD, KY 42754
33aNPI1508100447assigned 11/15/2012
33bProvider typeProfessional Counselor
28Total paid$18.05M
24GClaims224,704
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#3 of 255
Median peer was paid$129K
This provider vs. median140×
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 | 6,885 | $575K | |
| 2019 | 18,946 | $1.23M | |
| 2020 | 21,118 | $1.82M | |
| 2021 | 28,722 | $2.30M | |
| 2022 | 47,452 | $3.64M | |
| 2023 | 53,616 | $4.28M | |
| 2024incomplete | 47,965 | $4.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 32% | 19,862 | 17,372 | $5.72M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 17% | 42,541 | 21,857 | $3.03M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 10% | 21,951 | 6,570 | $1.83M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.5% | 26,552 | 16,762 | $991K |
| 97154 | 5.4% | 11,007 | 2,252 | $981K | |
| 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 | 5.3% | 9,242 | 2,108 | $951K |
| H2020 | Therapeutic behavioral services, per diem | 4.8% | 4,138 | 911 | $867K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 3.6% | 6,322 | 1,767 | $648K |
| H0038 | Self-help/peer services, per 15 minutes | 2.8% | 11,365 | 2,034 | $501K |
| H0032 | Mental health service plan development by non-physician | 2.6% | 7,734 | 7,397 | $462K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.4% | 8,693 | 6,579 | $427K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.1% | 4,778 | 4,476 | $388K |
26 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 2.0% | 6,078 | $365K |
| 90785 | <1% | 24,798 | $179K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,906 | $142K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 901 | $118K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 2,142 | $111K |
| 90887 | <1% | 2,633 | $109K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,537 | $54K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 531 | $33K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 457 | $31K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 570 | $25K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,765 | $20K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 268 | $15K |
| 99205 | Prolong outpt/office vis | <1% | 207 | $13K |
| H0001 | Alcohol and/or drug assessment | <1% | 174 | $10K |
| 96127 | <1% | 4,683 | $6K | |
| 99354 | <1% | 51 | $4K | |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 93 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 32 | $3K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 58 | $2K |
| 99407 | <1% | 346 | $2K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 104 | $1K |
| 99408 | <1% | 100 | $933.82 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 17 | $742.39 |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 12 | $685.18 |
| 90836 | <1% | 14 | $680.86 | |
| 80305 | <1% | 42 | $325.51 |
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 officialHATFIELD, LUKE (OWNER, THERAPIST)
| Provider | Location | Paid |
|---|---|---|
| Associates in Counseling | Leitchfield, KY | $2.68M |
| TLBH Wellness | Leitchfield, KY | $272K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.