Guided Living LLC

Guided Living LLC was paid $2.41M by Medicaid between Jun 2019 and Jun 2021, across 2 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 96% of everything it billed.

33Billing provider infoGUIDED LIVING LLC
ASHLAND, KY 41101

33aNPI1871079947assigned 07/12/2018

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$2.41M

24GClaims12,625

24DCodes billed2

24AFirst – last monthJun 2019 – Jun 2021

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Kentucky

Rank by total paid#40 of 65

Median peer was paid$5.50M

This provider vs. median0.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration96% of spending on code T2016 with only 2 total codes billed. Highly concentrated billing profile.

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
2019	3,491	$540K
2020	6,437	$1.21M
2021	2,697	$667K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2016	A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem	96%	11,190	410	$2.33M
T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	3.7%	1,435	122	$89K

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 officialBURGESS, OLEY (MEMBER /OWNER)