Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KENTUCKY RIVER COMMUNITY CARE, INC

NPI: 1528017142 · HAZARD, KY 41701 · Psychologist · NPI assigned 05/09/2006

$104.05M
Total Medicaid Paid
1,091,883
Total Claims
451,933
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialADAMS, MARCIA (CFO)
NPI Enumeration Date05/09/2006

Related Entities

Other providers sharing the same authorized official: ADAMS, MARCIA

ProviderCityStateTotal Paid
KENTUCKY RIVER COMMUNITY CARE, INC HAZARD KY $109.24M
KNOTT COUNTY CENTER FOR FAMILY HEALTH EMMALENA KY $668K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 190,056 $19.75M
2019 166,273 $14.49M
2020 162,791 $13.62M
2021 146,640 $12.69M
2022 141,669 $13.46M
2023 150,137 $15.58M
2024 134,317 $14.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 273,304 49,594 $19.71M
H2020 Therapeutic behavioral services, per diem 102,616 13,808 $18.63M
T2023 Targeted case management; per month 55,325 51,477 $17.02M
H2021 Community-based wrap-around services, per 15 minutes 105,146 16,991 $14.51M
90837 Psychotherapy, 53 minutes with patient 115,252 61,123 $10.03M
90887 61,687 34,631 $5.63M
H0038 Self-help/peer services, per 15 minutes 68,466 15,780 $2.52M
H0032 Mental health service plan development by non-physician 23,858 22,810 $2.12M
90832 Psychotherapy, 30 minutes with patient 50,661 36,320 $2.10M
H0031 Mental health assessment, by non-physician 23,214 19,483 $1.96M
90834 Psychotherapy, 45 minutes with patient 29,376 21,909 $1.90M
90853 Group psychotherapy (other than of a multiple-family group) 59,039 15,137 $1.49M
H2019 Therapeutic behavioral services, per 15 minutes 12,861 4,625 $1.44M
H0002 Behavioral health screening to determine eligibility for admission to treatment program 12,159 11,721 $1.09M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,033 26,405 $850K
S9484 Crisis intervention mental health services, per hour 6,231 5,146 $490K
Q3014 Telehealth originating site facility fee 30,904 19,083 $455K
H2011 Crisis intervention service, per 15 minutes 5,108 3,894 $372K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,790 4,469 $279K
90847 Family psychotherapy with the patient present, 50 minutes 2,854 2,227 $255K
90846 Family psychotherapy without the patient present, 50 minutes 2,725 2,078 $249K
90792 Psychiatric diagnostic evaluation with medical services 1,832 1,792 $224K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 2,534 2,366 $215K
H0001 Alcohol and/or drug assessment 1,418 1,289 $126K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,646 710 $96K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,227 3,692 $92K
99354 1,523 981 $68K
H0040 Assertive community treatment program, per diem 25 24 $19K
90791 Psychiatric diagnostic evaluation 207 183 $18K
97167 476 374 $18K
96113 182 144 $13K
99408 285 285 $12K
H0004 Behavioral health counseling and therapy, per 15 minutes 498 197 $9K
96130 90 86 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 109 99 $5K
96150 140 131 $5K
99215 Prolong outpt/office vis 40 38 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 47 45 $3K
96112 51 40 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 193 137 $3K
36415 Collection of venous blood by venipuncture 409 334 $2K
96131 33 32 $2K
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 37 14 $1K
97533 18 12 $489.60
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $406.44
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 23 15 $182.92
96127 138 126 $119.95
80305 12 12 $11.97
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 25 13 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30 26 $0.00
0001F 13 12 $0.00