Behavioral
Louisville Behavioral Health Systems PLLC
Louisville Behavioral Health Systems PLLC was paid $2.05M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 40% of everything it billed.
33Billing provider infoLOUISVILLE BEHAVIORAL HEALTH SYSTEMS PLLC
LOUISVILLE, KY 40218
LOUISVILLE, KY 40218
33aNPI1619088549assigned 08/31/2006
33bProvider typeClinical Social Worker
28Total paid$2.05M
24GClaims53,936
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Social Worker providers in Kentucky
Rank by total paid#27 of 275
Median peer was paid$57K
This provider vs. median36×
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 | 12,473 | $494K | |
| 2019 | 9,094 | $388K | |
| 2020 | 9,718 | $340K | |
| 2021 | 8,958 | $366K | |
| 2022 | 5,794 | $228K | |
| 2023 | 3,946 | $117K | |
| 2024incomplete | 3,953 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 40% | 30,177 | 8,792 | $820K |
| 99222 | Initial hospital care, per day, moderate complexity | 20% | 6,846 | 5,745 | $400K |
| 99238 | Hospital discharge day management, 30 minutes or less | 18% | 9,360 | 7,678 | $369K |
| 99223 | Prolong inpt eval add15 m | 12% | 2,668 | 2,375 | $249K |
| 99253 | 6.4% | 2,624 | 2,033 | $131K | |
| 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 | 1.2% | 380 | 347 | $24K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.2% | 588 | 272 | $24K |
| 99221 | <1% | 303 | 260 | $12K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 522 | 241 | $9K |
| 99254 | <1% | 107 | 101 | $9K | |
| 99252 | <1% | 15 | 15 | $716.13 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 346 | 294 | $0.12 |
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 officialZWANZIG, EVELYN (CREDENTIALING SPECIALIST)