Clinic
Life & Health Services
Life & Health Services was paid $2.72M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is T2023, Targeted case management; per month — 27% of everything it billed.
33Billing provider infoLIFE & HEALTH SERVICES
MIDDLESBORO, KY 40965
MIDDLESBORO, KY 40965
33aNPI1568864734assigned 09/19/2014
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$2.72M
24GClaims52,803
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Kentucky
Rank by total paid#16 of 28
Median peer was paid$2.73M
This provider vs. median1.0×
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 | 9,033 | $383K | |
| 2019 | 9,266 | $402K | |
| 2020 | 10,954 | $533K | |
| 2021 | 9,106 | $590K | |
| 2022 | 6,770 | $409K | |
| 2023 | 4,750 | $252K | |
| 2024incomplete | 2,924 | $154K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 27% | 2,140 | 1,869 | $745K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 19,316 | 12,104 | $663K |
| 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 | 24% | 6,883 | 941 | $659K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 5.5% | 2,007 | 1,890 | $149K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 5.3% | 10,991 | 5,644 | $145K |
| H0038 | Self-help/peer services, per 15 minutes | 5.3% | 5,732 | 3,083 | $144K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.6% | 1,516 | 989 | $99K |
| H0032 | Mental health service plan development by non-physician | 1.8% | 842 | 759 | $50K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,997 | 1,350 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 247 | 223 | $18K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 153 | 139 | $8K |
| H0001 | Alcohol and/or drug assessment | <1% | 93 | 88 | $6K |
11 more codes
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 158 | $5K |
| 96151 | <1% | 234 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 37 | $1K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 100 | $901.83 |
| 96127 | <1% | 136 | $406.98 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 16 | $340.46 |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | 0% | 123 | $0.00 |
| H0033 | Oral medication administration, direct observation | 0% | 14 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 19 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 17 | $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 officialPOORE, TINA (SECRETARY)