Behavioral
East Kentucky Rehabilitation Center
East Kentucky Rehabilitation Center was paid $6.02M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 31% of everything it billed.
33Billing provider infoEAST KENTUCKY REHABILITATION CENTER
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1790114015assigned 11/06/2013
33bProvider typeCounselor
28Total paid$6.02M
24GClaims102,539
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Kentucky
Rank by total paid#9 of 55
Median peer was paid$202K
This provider vs. median30×
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 | 13,563 | $475K | |
| 2019 | 19,316 | $710K | |
| 2020 | 18,066 | $913K | |
| 2021 | 13,577 | $778K | |
| 2022 | 12,809 | $895K | |
| 2023 | 10,808 | $885K | |
| 2024incomplete | 14,400 | $1.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 31% | 24,451 | 9,978 | $1.85M |
| T2023 | Targeted case management; per month | 21% | 3,925 | 3,769 | $1.24M |
| 90838 | 12% | 9,945 | 7,977 | $744K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 15,095 | 11,202 | $685K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 7.3% | 3,638 | 244 | $439K |
| 80305 | 4.5% | 31,657 | 10,928 | $269K | |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 3.0% | 1,552 | 225 | $182K |
| H0038 | Self-help/peer services, per 15 minutes | 2.7% | 5,856 | 1,584 | $162K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 2.2% | 2,117 | 1,953 | $131K |
| H2027 | Psychoeducational service, per 15 minutes | 1.6% | 420 | 159 | $97K |
| H0001 | Alcohol and/or drug assessment | 1.0% | 1,012 | 960 | $62K |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 1.0% | 323 | 30 | $61K |
13 more codes
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 410 | $26K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 899 | $14K |
| 0011U | <1% | 510 | $14K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 155 | $11K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | <1% | 80 | $10K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 122 | $8K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 100 | $6K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 79 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 63 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | $1K |
| H0033 | Oral medication administration, direct observation | 0% | 50 | $0.00 |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 43 | $0.00 |
| 99354 | 0% | 25 | $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 officialGEARHEART, DAVID (PRESIDENT/CEO)