Phoenix Preferred Care, INC.

Phoenix Preferred Care, INC. was paid $8.51M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is T2023, Targeted case management; per month — 49% of everything it billed.

33Billing provider infoPHOENIX PREFERRED CARE, INC.
SOMERSET, KY 42501

33aNPI1639290596assigned 04/02/2007

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$8.51M

24GClaims103,681

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Kentucky

Rank by total paid#29 of 152

Median peer was paid$938K

This provider vs. median9.1×

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	13,995	$1.22M
2019	16,435	$1.36M
2020	14,290	$1.08M
2021	12,326	$920K
2022	13,878	$1.04M
2023	11,966	$1.03M
2024incomplete	20,791	$1.86M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2023	Targeted case management; per month	49%	12,163	11,750	$4.17M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	34%	37,868	14,033	$2.88M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	3.8%	6,180	3,635	$323K
90785		2.9%	31,155	11,038	$248K
90846	Family psychotherapy without the patient present, 50 minutes	2.7%	4,249	3,018	$233K
H0032	Mental health service plan development by non-physician	2.6%	3,467	3,258	$224K
99354		1.8%	2,870	1,396	$153K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.4%	2,908	1,699	$115K
H0031	Mental health assessment, by non-physician	<1%	1,050	896	$72K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	1,214	721	$71K
90887		<1%	251	186	$11K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	196	131	$7K

3 more codes

90791	Psychiatric diagnostic evaluation	<1%	43	$4K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	<1%	51	$972.65
99355		<1%	16	$720.58

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 officialHAMM, TINA (CFO)