Agency
Communicare INC
Communicare INC was paid $206.11M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 97535, Self-care/home management training, each 15 minutes — 49% of everything it billed.
33Billing provider infoCOMMUNICARE INC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1891832234assigned 02/01/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$206.11M
24GClaims1,847,621
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Kentucky
Rank by total paid#1 of 152
Median peer was paid$938K
This provider vs. median220×
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 | 289,386 | $27.92M | |
| 2019 | 309,545 | $29.95M | |
| 2020 | 251,733 | $27.60M | |
| 2021 | 267,587 | $29.59M | |
| 2022 | 250,237 | $28.89M | |
| 2023 | 256,788 | $31.18M | |
| 2024incomplete | 222,345 | $30.98M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97535 | Self-care/home management training, each 15 minutes | 49% | 962,319 | 49,692 | $100.48M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 15% | 151,525 | 5,859 | $31.13M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 12% | 224,856 | 11,036 | $25.29M |
| T2022 | Case management, per month | 7.0% | 52,760 | 52,218 | $14.50M |
| S5108 | Home care training to home care client, per 15 minutes | 5.8% | 129,586 | 6,296 | $11.98M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 5.4% | 173,072 | 13,145 | $11.04M |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 2.8% | 54,350 | 54,014 | $5.68M |
| T1005 | Respite care services, up to 15 minutes | 2.7% | 95,543 | 19,482 | $5.65M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 3,056 | 1,509 | $271K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 554 | 476 | $74K |
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 | $49.47M |
| 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.