Somerset Mental Health, PSC

Somerset Mental Health, PSC was paid $12.30M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 35% of everything it billed.

33Billing provider infoSOMERSET MENTAL HEALTH, PSC
SOMERSET, KY 42501

33aNPI1891722146assigned 06/26/2006

33bProvider typeClinical Social Worker

28Total paid$12.30M

24GClaims142,087

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinical Social Worker providers in Kentucky

Rank by total paid#3 of 275

Median peer was paid$57K

This provider vs. median214×

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	15,322	$1.25M
2019	17,654	$1.41M
2020	18,696	$1.39M
2021	20,288	$1.64M
2022	22,332	$2.10M
2023	24,452	$2.30M
2024incomplete	23,343	$2.21M

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	35%	63,222	30,434	$4.32M
T2023	Targeted case management; per month	26%	10,164	9,765	$3.24M
H0031	Mental health assessment, by non-physician	12%	23,413	20,564	$1.49M
T2022	Case management, per month	9.3%	3,368	3,171	$1.14M
H0004	Behavioral health counseling and therapy, per 15 minutes	3.3%	5,849	2,362	$411K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	3.3%	11,685	7,306	$403K
H0032	Mental health service plan development by non-physician	2.7%	5,462	5,262	$333K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	2.2%	6,061	4,504	$271K
99354		1.9%	4,040	2,678	$228K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1.4%	2,880	2,211	$176K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.0%	1,539	1,503	$128K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	846	582	$47K

8 more codes

H2020	Therapeutic behavioral services, per diem	<1%	94	$23K
99205	Prolong outpt/office vis	<1%	197	$21K
99213	Doctor's office visit, returning patient (routine)	<1%	480	$18K
99214	Doctor's office visit, returning patient (more involved)	<1%	284	$17K
90785		<1%	2,223	$17K
90792	Psychiatric diagnostic evaluation with medical services	<1%	61	$6K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	170	$6K
99355		<1%	49	$2K

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 officialTHAYER, JASON (ADMINISTRATOR)