Behavioral
Appalachian Community Care LLC
Appalachian Community Care LLC was paid $182K by Medicaid between Jul 2024 and Dec 2024, across 13 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 27% of everything it billed.
33Billing provider infoAPPALACHIAN COMMUNITY CARE LLC
WHITESBURG, KY 41858
WHITESBURG, KY 41858
33aNPI1841952892assigned 10/07/2021
33bProvider typeProfessional Counselor
28Total paid$182K
24GClaims2,352
24DCodes billed13
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#107 of 255
Median peer was paid$129K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2024incomplete | 2,352 | $182K |
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 | 27% | 597 | 434 | $49K |
| T2023 | Targeted case management; per month | 21% | 128 | 116 | $37K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 15% | 378 | 363 | $28K |
| 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% | 448 | 355 | $20K |
| H0031 | Mental health assessment, by non-physician | 9.4% | 239 | 215 | $17K |
| H0001 | Alcohol and/or drug assessment | 5.0% | 128 | 122 | $9K |
| H0032 | Mental health service plan development by non-physician | 4.7% | 121 | 118 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.4% | 62 | 61 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.2% | 38 | 34 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 50 | 45 | $2K |
| 80305 | <1% | 84 | 59 | $929.38 | |
| 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 | <1% | 14 | 12 | $727.41 |
1 more codes
| 81025 | <1% | 65 | $488.69 |
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 officialFLEMING-RICHARDSON, LOVONNE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Appalachian Community Care LLC | Pikeville, KY | $269K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.