Hospital
Encompass Health Rehabilitation Hospital of Cardinal Hill, LLC
Encompass Health Rehabilitation Hospital of Cardinal Hill, LLC was paid $4.26M by Medicaid between Jan 2018 and Nov 2022, across 24 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 28% of everything it billed.
33Billing provider infoENCOMPASS HEALTH REHABILITATION HOSPITAL OF CARDINAL HILL, LLC
LEXINGTON, KY 40504
LEXINGTON, KY 40504
33aNPI1508258823assigned 02/24/2015
33bProvider typeRehabilitation Hospital
28Total paid$4.26M
24GClaims83,319
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Rehabilitation Hospital providers in Kentucky
Rank by total paid#5 of 10
Median peer was paid$224K
This provider vs. median19×
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 | 26,877 | $1.39M | |
| 2019 | 22,869 | $1.21M | |
| 2020 | 9,357 | $513K | |
| 2021 | 14,880 | $628K | |
| 2022 | 9,336 | $515K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 28% | 27,220 | 5,318 | $1.18M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 23% | 15,186 | 4,057 | $990K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 18% | 10,831 | 2,813 | $758K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 7.2% | 7,184 | 2,104 | $305K |
| 97113 | 5.4% | 2,762 | 863 | $230K | |
| 97116 | 3.6% | 4,862 | 1,457 | $154K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.3% | 4,294 | 1,324 | $143K |
| 97161 | 2.2% | 1,922 | 1,172 | $94K | |
| 97162 | 2.1% | 1,417 | 956 | $91K | |
| 92526 | 2.1% | 1,233 | 407 | $89K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 2,053 | 1,895 | $76K |
| 97750 | 1.5% | 1,321 | 990 | $62K |
12 more codes
| 92523 | <1% | 204 | $26K | |
| 97166 | <1% | 253 | $21K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 273 | $12K |
| 97542 | <1% | 201 | $9K | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 800 | $5K |
| 97165 | <1% | 59 | $5K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,038 | $4K |
| 97163 | <1% | 79 | $3K | |
| 97167 | <1% | 23 | $1K | |
| 90686 | <1% | 27 | $420.62 | |
| 97010 | <1% | 47 | $389.47 | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 30 | $45.30 |
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 officialMCCALLUM, ROBERT (VICE PRESIDENT)
Parent organizationENCOMPASS HEALTH CORPORATION