Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Seven Counties Services, INC.

Seven Counties Services, INC. was paid $194.18M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 20% of everything it billed.

33Billing provider infoSEVEN COUNTIES SERVICES, INC.
LOUISVILLE, KY 40223
33aNPI1598793671assigned 06/29/2006
33bProvider typeCounselor
28Total paid$194.18M
24GClaims2,375,545
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Counselor providers in Kentucky

Rank by total paid#1 of 55
Median peer was paid$202K
This provider vs. median959×

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

$0$2.0M$4.0M2018201920202021202220232024
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
YearClaimsPaid
2018400,946$40.48M
2019386,723$37.23M
2020280,688$29.89M
2021228,703$25.72M
2022379,672$20.13M
2023379,184$22.88M
2024incomplete319,629$17.85M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 20% 379,815 196,775 $38.51M
T2023 Targeted case management; per month 13% 89,156 74,430 $24.53M
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 11% 80,622 7,562 $21.35M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 6.5% 174,282 124,374 $12.67M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5.6% 178,442 146,106 $10.85M
90887 5.3% 101,819 53,430 $10.32M
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 4.9% 71,096 13,257 $9.50M
90847 Family psychotherapy with the patient present, 50 minutes 4.6% 87,822 60,363 $8.96M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 4.2% 45,408 6,491 $8.14M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 3.5% 144,178 105,369 $6.74M
H0040 Assertive community treatment program, per diem 2.7% 7,577 5,830 $5.32M
H0009 Alcohol and/or drug services; acute detoxification (hospital inpatient) 2.1% 15,265 3,335 $4.06M
66 more codes
90791 Psychiatric diagnostic evaluation 1.9% 37,796 $3.69M
T1040 Medicaid certified community behavioral health clinic services, per diem 1.8% 519,493 $3.44M
S9485 Crisis intervention mental health services, per diem 1.4% 8,304 $2.77M
H0038 Self-help/peer services, per 15 minutes 1.2% 101,010 $2.40M
H2036 Alcohol and/or other drug treatment program, per diem 1.2% 6,891 $2.30M
H2034 Alcohol and/or drug abuse halfway house services, per diem 1.2% 9,212 $2.25M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1.1% 30,165 $2.19M
90853 Group psychotherapy (other than of a multiple-family group) 1.1% 87,302 $2.13M
H2021 Community-based wrap-around services, per 15 minutes 1.0% 14,204 $1.98M
H2019 Therapeutic behavioral services, billed per 15 minutes <1% 7,400 $1.47M
H2015 Community support for mental illness or disability, per 15 minutes <1% 16,511 $1.45M
99213 Doctor's office visit, returning patient (routine) <1% 37,408 $1.19M
90792 Psychiatric diagnostic evaluation with medical services <1% 8,410 $1.15M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 25,943 $1.13M
99354 <1% 17,117 $731K
H2011 Crisis intervention service, per 15 minutes <1% 3,981 $397K
90846 Family psychotherapy without the patient present, 50 minutes <1% 3,069 $323K
96101 <1% 909 $305K
99215 Doctor's office visit, returning patient (complex) <1% 3,379 $278K
H2020 Therapeutic behavioral services, per diem <1% 2,424 $250K
H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) <1% 1,187 $171K
80305 <1% 17,083 $165K
H0032 Mental health service plan development by non-physician <1% 1,848 $153K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,055 $140K
82075 <1% 4,697 $110K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 2,729 $82K
H0006 Alcohol and/or drug services; case management <1% 1,492 $74K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 3,139 $71K
96130 <1% 1,377 $69K
96131 <1% 454 $65K
Q3014 Telehealth originating site facility fee <1% 6,293 $39K
99244 Office or other outpatient consultation, moderate to high complexity <1% 353 $36K
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem <1% 228 $32K
96139 <1% 384 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,074 $27K
84703 <1% 3,738 $26K
86328 <1% 1,387 $25K
99355 <1% 442 $22K
99243 <1% 167 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 482 $10K
83036 Hemoglobin; glycosylated (A1C) <1% 1,313 $9K
96137 <1% 181 $6K
96138 <1% 450 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 209 $4K
99173 <1% 87 $4K
99205 Prolong outpt/office vis <1% 28 $3K
96136 <1% 182 $3K
94250 <1% 510 $2K
H0031 Mental health assessment, by non-physician <1% 29 $2K
H0024 Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) <1% 18 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 304 $2K
97167 <1% 27 $2K
36416 <1% 1,099 $1K
86803 <1% 60 $792.45
99203 Doctor's office visit, new patient (routine) <1% 39 $471.24
99442 <1% 34 $393.55
98968 <1% 25 $349.64
83718 <1% 60 $335.26
81025 <1% 39 $318.22
92552 <1% 36 $220.32
84478 <1% 16 $82.15
82465 <1% 16 $62.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 46 $58.50
S9128 Speech therapy, in the home, per diem 0% 218 $0.00
S9131 Physical therapy; in the home, per diem 0% 142 $0.00
S9129 Occupational therapy, in the home, per diem 0% 358 $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 officialPANKOTAI, DAVID (CEO)