Edgewater Recovery Center LLC

Edgewater Recovery Center LLC was paid $50.22M by Medicaid between Oct 2018 and Dec 2024, across 22 billing codes. Its largest line is H0011, Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) — 30% of everything it billed.

33Billing provider infoEDGEWATER RECOVERY CENTER LLC
MOREHEAD, KY 40351

33aNPI1619466141assigned 05/10/2018

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$50.22M

24GClaims435,551

24DCodes billed22

24AFirst – last monthOct 2018 – Dec 2024

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Kentucky

Rank by total paid#2 of 51

Median peer was paid$3.26M

This provider vs. median15×

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	970	$165K
2019	26,150	$2.35M
2020	57,235	$5.16M
2021	80,852	$8.97M
2022	96,811	$11.96M
2023	109,600	$14.09M
2024incomplete	63,933	$7.52M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0011	Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)	30%	56,830	5,053	$14.98M
H2034	Alcohol and/or drug abuse halfway house services, per diem	21%	44,806	3,363	$10.72M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	10%	30,110	2,583	$5.10M
H2027	Psychoeducational service, per 15 minutes	9.7%	46,378	6,077	$4.86M
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	9.7%	43,169	4,288	$4.85M
H0038	Self-help/peer services, per 15 minutes	9.2%	180,727	9,764	$4.61M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	4.7%	12,550	855	$2.36M
T2023	Targeted case management; per month	3.9%	6,069	5,472	$1.95M
90853	Group psychotherapy (other than of a multiple-family group)	<1%	4,252	326	$330K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	<1%	3,832	3,129	$217K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	2,034	1,535	$78K
H0001	Alcohol and/or drug assessment	<1%	738	668	$40K

10 more codes

90832	Psychotherapy session, about 30 minutes	<1%	1,059	$40K
90834	Psychotherapy session, about 45 minutes	<1%	701	$31K
90837	Psychotherapy session, about an hour	<1%	346	$26K
90791	Psychiatric diagnostic evaluation	<1%	164	$15K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	655	$5K
80305		<1%	397	$2K
S9446	Patient education, not otherwise classified, non-physician provider, group, per session	<1%	686	$1K
99203	Doctor's office visit, new patient (routine)	<1%	18	$1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	17	$455.04
99408		<1%	13	$75.51

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 officialADKINS, ASHLEY (CEO)