Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNICARE INC

NPI: 1801933247 · ELIZABETHTOWN, KY 42701 · Community/Behavioral Health Agency · NPI assigned 02/01/2007

$49.47M
Total Medicaid Paid
476,605
Total Claims
298,406
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWISE, LISA (CEO)
Parent OrganizationCOMMUNICARE INC
NPI Enumeration Date02/01/2007

Related Entities

Other providers sharing the same authorized official: WISE, LISA

ProviderCityStateTotal Paid
COMMUNICARE INC ELIZABETHTOWN KY $206.11M
COMMUNICARE INC ELIZABETHTOWN KY $1.45M
COMMUNICARE INC RADCLIFF KY $0.00
COMMUNICARE INC BARDSTOWN KY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105,548 $10.62M
2019 94,237 $8.86M
2020 60,823 $6.62M
2021 56,453 $6.59M
2022 58,150 $6.69M
2023 58,083 $5.85M
2024 43,311 $4.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2023 Targeted case management; per month 44,616 42,660 $14.20M
90837 Psychotherapy, 53 minutes with patient 105,934 70,559 $10.87M
90832 Psychotherapy, 30 minutes with patient 63,249 42,415 $3.45M
H0040 Assertive community treatment program, per diem 3,603 3,387 $3.09M
S9485 Crisis intervention mental health services, per diem 10,347 3,162 $2.54M
90834 Psychotherapy, 45 minutes with patient 31,625 25,153 $2.49M
H0038 Self-help/peer services, per 15 minutes 62,408 14,473 $2.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48,552 42,687 $1.84M
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 6,772 461 $1.72M
90847 Family psychotherapy with the patient present, 50 minutes 11,459 9,129 $1.25M
90887 11,068 6,728 $1.15M
H2021 Community-based wrap-around services, per 15 minutes 8,175 2,367 $1.02M
90791 Psychiatric diagnostic evaluation 8,819 8,376 $938K
90853 Group psychotherapy (other than of a multiple-family group) 31,785 10,927 $912K
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 3,413 256 $652K
90792 Psychiatric diagnostic evaluation with medical services 2,494 2,297 $378K
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 1,500 201 $185K
H2015 Comprehensive community support services, per 15 minutes 2,645 845 $118K
99222 Initial hospital care, per day, moderate complexity 1,774 1,491 $100K
99221 2,092 806 $97K
90846 Family psychotherapy without the patient present, 50 minutes 877 807 $92K
99232 Subsequent hospital care, per day, moderate complexity 3,060 1,435 $89K
99238 Hospital discharge day management, 30 minutes or less 1,892 1,527 $65K
H0031 Mental health assessment, by non-physician 427 419 $47K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 545 498 $34K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 996 548 $33K
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 160 12 $29K
H0046 Mental health services, not otherwise specified 480 429 $14K
H0006 Alcohol and/or drug services; case management 106 29 $10K
99233 Prolong inpt eval add15 m 225 150 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 850 737 $5K
H0024 Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) 106 98 $4K
H2011 Crisis intervention service, per 15 minutes 30 28 $4K
99223 Prolong inpt eval add15 m 29 29 $3K
90785 1,727 1,004 $3K
Q3014 Telehealth originating site facility fee 2,673 2,249 $551.16
99231 Subsequent hospital care, per day, straightforward or low complexity 18 12 $406.80
S9446 Patient education, not otherwise classified, non-physician provider, group, per session 74 15 $200.00