Cales, Richard

Cales, Richard was paid $4K by Medicaid between Jan 2018 and Oct 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.

33Billing provider infoCALES, RICHARD
LOUISVILLE, KY 40219

33aNPI1619932084assigned 04/19/2006

33bProvider typeAddiction Medicine (Family Medicine) Physician

28Total paid$4K

24GClaims223

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Addiction Medicine (Family Medicine) Physician providers in Kentucky

Rank by total paid#16 of 20

Median peer was paid$136K

This provider vs. median0.0×

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	163	$4K
2019	60	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	92%	81	42	$4K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	6.6%	13	13	$283.41
90853	Group psychotherapy (other than of a multiple-family group)	<1%	31	30	$38.58
80305		0%	60	31	$0.00
80306		0%	38	18	$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.