Medicaid Provider Spending

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

LIFE & HEALTH SERVICES

NPI: 1568864734 · MIDDLESBORO, KY 40965 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 09/19/2014

$2.72M
Total Medicaid Paid
52,803
Total Claims
29,741
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPOORE, TINA (SECRETARY)
NPI Enumeration Date09/19/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,924 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2023 Targeted case management; per month 2,140 1,869 $745K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 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 6,883 941 $659K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 2,007 1,890 $149K
90853 Group psychotherapy (other than of a multiple-family group) 10,991 5,644 $145K
H0038 Self-help/peer services, per 15 minutes 5,732 3,083 $144K
90837 Psychotherapy, 53 minutes with patient 1,516 989 $99K
H0032 Mental health service plan development by non-physician 842 759 $50K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,997 1,350 $24K
90792 Psychiatric diagnostic evaluation with medical services 247 223 $18K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 153 139 $8K
H0001 Alcohol and/or drug assessment 93 88 $6K
H2015 Comprehensive community support services, per 15 minutes 158 67 $5K
96151 234 194 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 31 $2K
90832 Psychotherapy, 30 minutes with patient 37 34 $1K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 100 89 $901.83
96127 136 129 $406.98
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 16 12 $340.46
S9446 Patient education, not otherwise classified, non-physician provider, group, per session 123 62 $0.00
H0033 Oral medication administration, direct observation 14 12 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 17 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 17 15 $0.00