Agency
Impactlex, LLC
Impactlex, LLC was paid $12.88M by Medicaid between May 2019 and Dec 2024, across 4 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 51% of everything it billed.
33Billing provider infoIMPACTLEX, LLC
LEXINGTON, KY 40511
LEXINGTON, KY 40511
33aNPI1700342003assigned 02/12/2019
33bProvider typeCase Management Agency
28Total paid$12.88M
24GClaims52,274
24DCodes billed4
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Kentucky
Rank by total paid#15 of 94
Median peer was paid$3.21M
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2019 | 3,692 | $555K | |
| 2020 | 5,283 | $976K | |
| 2021 | 7,364 | $1.38M | |
| 2022 | 9,468 | $2.54M | |
| 2023 | 13,958 | $3.84M | |
| 2024incomplete | 12,509 | $3.59M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 51% | 15,708 | 3,393 | $6.53M |
| 97535 | Self-care/home management training, each 15 minutes | 33% | 27,981 | 3,126 | $4.29M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 14% | 6,005 | 482 | $1.78M |
| T1005 | Respite care services, up to 15 minutes | 2.2% | 2,580 | 624 | $281K |
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 officialPOTTER, MICHAEL (MEMBER)