Helton, Lora

Helton, Lora was paid $771K by Medicaid between Jan 2018 and Nov 2020, across 6 billing codes. Its largest line is T2023, Targeted case management; per month — 57% of everything it billed.

33Billing provider infoHELTON, LORA
HARLAN, KY 40831

33aNPI1760621510assigned 02/18/2009

33bProvider typeMental Health Counselor

28Total paid$771K

24GClaims6,325

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Mental Health Counselor providers in Kentucky

Rank by total paid#49 of 204

Median peer was paid$135K

This provider vs. median5.7×

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	2,697	$235K
2019	2,962	$322K
2020	666	$213K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2023	Targeted case management; per month	57%	1,375	1,330	$439K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	41%	4,413	1,696	$314K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	89	89	$7K
H2021	Community-based wrap-around services, per 15 minutes	<1%	143	76	$6K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	288	117	$4K
H0032	Mental health service plan development by non-physician	<1%	17	17	$1K

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.