Transitions, INC.

Transitions, INC. was paid $31.35M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is H0011, Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) — 62% of everything it billed.

33Billing provider infoTRANSITIONS, INC.
ERLANGER, KY 41017

33aNPI1528466877assigned 12/18/2014

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$31.35M

24GClaims192,659

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Kentucky

Rank by total paid#6 of 51

Median peer was paid$3.26M

This provider vs. median9.6×

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	21,643	$1.31M
2019	58,872	$5.75M
2020	43,388	$7.69M
2021	22,532	$5.40M
2022	20,830	$4.86M
2023	14,261	$3.44M
2024incomplete	11,133	$2.90M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0011	Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)	62%	75,779	6,151	$19.58M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	23%	50,912	2,782	$7.10M
H2036	Alcohol and/or other drug treatment program, per diem	4.0%	6,513	602	$1.24M
H2034	Alcohol and/or drug abuse halfway house services, per diem	2.7%	3,260	353	$833K
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	2.7%	9,747	1,458	$832K
H0038	Self-help/peer services, per 15 minutes	2.1%	27,990	4,054	$670K
T2023	Targeted case management; per month	1.8%	2,744	1,936	$552K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.1%	6,497	5,032	$337K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	2,238	726	$79K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	<1%	1,151	968	$53K
H0001	Alcohol and/or drug assessment	<1%	1,019	613	$36K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	1,255	473	$25K

3 more codes

90853	Group psychotherapy (other than of a multiple-family group)	<1%	960	$10K
90834	Psychotherapy session, about 45 minutes	<1%	275	$9K
S9446	Patient education, not otherwise classified, non-physician provider, group, per session	<1%	2,319	$1K

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 officialROA, HEATHER (DIRECTOR OF INTAKE AND QI)