Clinic
Pike County Recovery Council INC
Pike County Recovery Council INC was paid $3.19M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is H2020, Therapeutic behavioral services, per diem — 37% of everything it billed.
33Billing provider infoPIKE COUNTY RECOVERY COUNCIL INC
WAVERLY, OH 45690
WAVERLY, OH 45690
33aNPI1760742993assigned 05/22/2012
28Total paid$3.19M
24GClaims37,281
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Ohio
Rank by total paid#43 of 211
Median peer was paid$280K
This provider vs. median11×
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 | 3,964 | $180K | |
| 2019 | 913 | $58K | |
| 2020 | 2,746 | $217K | |
| 2021 | 4,254 | $365K | |
| 2022 | 5,033 | $329K | |
| 2023 | 10,988 | $987K | |
| 2024incomplete | 9,383 | $1.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2020 | Therapeutic behavioral services, per diem | 37% | 7,142 | 2,025 | $1.19M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 29% | 16,199 | 5,974 | $920K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 23% | 7,813 | 3,576 | $729K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.7% | 1,753 | 1,168 | $118K |
| 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 | 2.7% | 702 | 661 | $85K |
| H2012 | Behavioral health day treatment, per hour | 1.8% | 2,024 | 640 | $59K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 765 | 576 | $39K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 595 | 316 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 208 | 197 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 40 | 39 | $6K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 40 | 37 | $4K |
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 officialBLACK, VERONICA (DEPUTY DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Pike County Recovery Council INC | Waverly, OH | $49.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.