Behavioral
Kentucky River Community Care, INC
Kentucky River Community Care, INC was paid $104.05M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 19% of everything it billed.
33Billing provider infoKENTUCKY RIVER COMMUNITY CARE, INC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1528017142assigned 05/09/2006
33bProvider typePsychologist
28Total paid$104.05M
24GClaims1,091,883
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Kentucky
Rank by total paid#1 of 40
Median peer was paid$395K
This provider vs. median263×
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 | 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 | |
| 2024incomplete | 134,317 | $14.45M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 19% | 273,304 | 49,594 | $19.71M |
| H2020 | Therapeutic behavioral services, per diem | 18% | 102,616 | 13,808 | $18.63M |
| T2023 | Targeted case management; per month | 16% | 55,325 | 51,477 | $17.02M |
| H2021 | Community-based wrap-around services, per 15 minutes | 14% | 105,146 | 16,991 | $14.51M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.6% | 115,252 | 61,123 | $10.03M |
| 90887 | 5.4% | 61,687 | 34,631 | $5.63M | |
| H0038 | Self-help/peer services, per 15 minutes | 2.4% | 68,466 | 15,780 | $2.52M |
| H0032 | Mental health service plan development by non-physician | 2.0% | 23,858 | 22,810 | $2.12M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 50,661 | 36,320 | $2.10M |
| H0031 | Mental health assessment, by non-physician | 1.9% | 23,214 | 19,483 | $1.96M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 29,376 | 21,909 | $1.90M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.4% | 59,039 | 15,137 | $1.49M |
39 more codes
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 1.4% | 12,861 | $1.44M |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.0% | 12,159 | $1.09M |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 30,033 | $850K |
| S9484 | Crisis intervention mental health services, per hour | <1% | 6,231 | $490K |
| Q3014 | Telehealth originating site facility fee | <1% | 30,904 | $455K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 5,108 | $372K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,790 | $279K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 2,854 | $255K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 2,725 | $249K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,832 | $224K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 2,534 | $215K |
| H0001 | Alcohol and/or drug assessment | <1% | 1,418 | $126K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,646 | $96K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,227 | $92K |
| 99354 | <1% | 1,523 | $68K | |
| H0040 | Assertive community treatment program, per diem | <1% | 25 | $19K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 207 | $18K |
| 97167 | <1% | 476 | $18K | |
| 96113 | <1% | 182 | $13K | |
| 99408 | <1% | 285 | $12K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 498 | $9K |
| 96130 | <1% | 90 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 109 | $5K |
| 96150 | <1% | 140 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 40 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 47 | $3K |
| 96112 | <1% | 51 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 193 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 409 | $2K |
| 96131 | <1% | 33 | $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 | <1% | 37 | $1K |
| 97533 | <1% | 18 | $489.60 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $406.44 |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 23 | $182.92 |
| 96127 | <1% | 138 | $119.95 | |
| 80305 | <1% | 12 | $11.97 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 25 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 30 | $0.00 |
| 0001F | 0% | 13 | $0.00 |
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 officialADAMS, MARCIA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Kentucky River Community Care, INC | Hazard, KY | $109.24M |
| Knott County Center for Family Health | Emmalena, KY | $668K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.