Behavioral
Teal Group PLLC
Teal Group PLLC was paid $2.27M by Medicaid between Jan 2018 and Aug 2021, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoTEAL GROUP PLLC
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1659819647assigned 02/09/2017
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$2.27M
24GClaims78,413
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#31 of 112
Median peer was paid$240K
This provider vs. median9.5×
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 | 20,735 | $539K | |
| 2019 | 24,689 | $770K | |
| 2020 | 23,550 | $681K | |
| 2021 | 9,439 | $285K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 25,007 | 11,582 | $895K |
| T2023 | Targeted case management; per month | 16% | 1,569 | 1,316 | $375K |
| 80306 | 13% | 21,874 | 10,897 | $305K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 10.0% | 17,709 | 8,512 | $227K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6.1% | 3,533 | 1,823 | $139K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.1% | 1,880 | 1,616 | $117K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.8% | 2,967 | 1,786 | $87K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 3.4% | 1,641 | 1,403 | $77K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 258 | 249 | $26K |
| 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% | 148 | 141 | $10K |
| 81025 | <1% | 1,039 | 813 | $6K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 122 | 95 | $6K |
7 more codes
| H0001 | Alcohol and/or drug assessment | <1% | 116 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 21 | $677.00 |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 88 | $258.30 |
| 99408 | <1% | 57 | $116.63 | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 0% | 36 | $0.00 |
| 97154 | 0% | 335 | $0.00 | |
| H2021 | Community-based wrap-around services, per 15 minutes | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialFORD, SUZANNE (PRESIDENT)
Parent organizationUNITED MEDICAL GROUP BEHAVIORAL HEALTH
| Provider | Location | Paid |
|---|---|---|
| Teal Group, PLLC | Pikeville, KY | $862K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.