Behavioral
Appalachian Community Care LLC
Appalachian Community Care LLC was paid $13.07M by Medicaid between Jan 2018 and Jul 2024, across 19 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 30% of everything it billed.
33Billing provider infoAPPALACHIAN COMMUNITY CARE LLC
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1558750406assigned 01/15/2015
33bProvider typeProfessional Counselor
28Total paid$13.07M
24GClaims222,588
24DCodes billed19
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#7 of 255
Median peer was paid$129K
This provider vs. median102×
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 | 31,388 | $1.01M | |
| 2019 | 41,453 | $2.26M | |
| 2020 | 38,268 | $2.61M | |
| 2021 | 42,704 | $2.51M | |
| 2022 | 35,661 | $2.31M | |
| 2023 | 24,621 | $1.66M | |
| 2024incomplete | 8,493 | $706K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 30% | 52,411 | 28,947 | $3.97M |
| T2023 | Targeted case management; per month | 25% | 11,127 | 10,191 | $3.30M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 48,084 | 29,153 | $1.88M |
| H0031 | Mental health assessment, by non-physician | 6.8% | 14,154 | 10,986 | $884K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 3.8% | 8,553 | 7,796 | $497K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.5% | 10,261 | 7,239 | $459K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.5% | 13,900 | 8,271 | $457K |
| H0001 | Alcohol and/or drug assessment | 3.4% | 6,401 | 5,531 | $448K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.7% | 4,081 | 3,884 | $359K |
| H0032 | Mental health service plan development by non-physician | 2.1% | 4,666 | 4,268 | $277K |
| 80305 | 1.8% | 28,179 | 17,920 | $233K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 4,335 | 2,887 | $198K |
7 more codes
| 81025 | <1% | 11,266 | $67K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 3,708 | $29K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 401 | $17K |
| 99408 | <1% | 396 | $4K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 53 | $833.28 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 48 | $77.36 |
| 96127 | <1% | 564 | $76.76 |
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 officialRICHARDSON, LOVONNE (PRESIDENT)