Agency
Communicare INC
Communicare INC was paid $49.47M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is T2023, Targeted case management; per month — 29% of everything it billed.
33Billing provider infoCOMMUNICARE INC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1801933247assigned 02/01/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$49.47M
24GClaims476,605
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Kentucky
Rank by total paid#6 of 152
Median peer was paid$938K
This provider vs. median53×
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 | 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 | |
| 2024incomplete | 43,311 | $4.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 29% | 44,616 | 42,660 | $14.20M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 22% | 105,934 | 70,559 | $10.87M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.0% | 63,249 | 42,415 | $3.45M |
| H0040 | Assertive community treatment program, per diem | 6.2% | 3,603 | 3,387 | $3.09M |
| S9485 | Crisis intervention mental health services, per diem | 5.1% | 10,347 | 3,162 | $2.54M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.0% | 31,625 | 25,153 | $2.49M |
| H0038 | Self-help/peer services, per 15 minutes | 4.1% | 62,408 | 14,473 | $2.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 48,552 | 42,687 | $1.84M |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 3.5% | 6,772 | 461 | $1.72M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.5% | 11,459 | 9,129 | $1.25M |
| 90887 | 2.3% | 11,068 | 6,728 | $1.15M | |
| H2021 | Community-based wrap-around services, per 15 minutes | 2.1% | 8,175 | 2,367 | $1.02M |
26 more codes
| 90791 | Psychiatric diagnostic evaluation | 1.9% | 8,819 | $938K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.8% | 31,785 | $912K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 1.3% | 3,413 | $652K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,494 | $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% | 1,500 | $185K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 2,645 | $118K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,774 | $100K |
| 99221 | <1% | 2,092 | $97K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 877 | $92K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 3,060 | $89K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,892 | $65K |
| H0031 | Mental health assessment, by non-physician | <1% | 427 | $47K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 545 | $34K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 996 | $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 | <1% | 160 | $29K |
| H0046 | Mental health services, not otherwise specified | <1% | 480 | $14K |
| H0006 | Alcohol and/or drug services; case management | <1% | 106 | $10K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 225 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 850 | $5K |
| H0024 | Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) | <1% | 106 | $4K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 30 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 29 | $3K |
| 90785 | <1% | 1,727 | $3K | |
| Q3014 | Telehealth originating site facility fee | <1% | 2,673 | $551.16 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 18 | $406.80 |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | <1% | 74 | $200.00 |
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 officialWISE, LISA (CEO)
Parent organizationCOMMUNICARE INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.