Physician
Cumberland Family Behavioral Health, PLLC
Cumberland Family Behavioral Health, PLLC was paid $841K by Medicaid between Jan 2018 and Jul 2020, across 9 billing codes. Its largest line is 90833, Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) — 34% of everything it billed.
33Billing provider infoCUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC
LONDON, KY 40741
LONDON, KY 40741
33aNPI1659381580assigned 08/09/2006
33bProvider typePsychiatry Physician
28Total paid$841K
24GClaims26,653
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Psychiatry Physician providers in Kentucky
Rank by total paid#17 of 73
Median peer was paid$137K
This provider vs. median6.2×
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 | 11,142 | $349K | |
| 2019 | 11,943 | $372K | |
| 2020 | 3,568 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 34% | 6,351 | 5,786 | $285K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 4,687 | 4,322 | $187K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 17% | 1,366 | 1,283 | $140K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.2% | 2,265 | 2,172 | $69K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7.3% | 3,776 | 3,466 | $61K |
| 90785 | 7.1% | 6,858 | 6,195 | $60K | |
| 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 | 3.3% | 430 | 398 | $28K |
| 99050 | 1.3% | 906 | 863 | $11K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 14 | 13 | $649.36 |
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 officialVASQUEZ, RAQUEL (OWNER)