Clinic
Cumberland River Behavioral Health, INC
Cumberland River Behavioral Health, INC was paid $349.24M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 97535, Self-care/home management training, each 15 minutes — 34% of everything it billed.
33Billing provider infoCUMBERLAND RIVER BEHAVIORAL HEALTH, INC
CORBIN, KY 40701
CORBIN, KY 40701
33aNPI1902023526assigned 04/18/2007
33bProvider typeHealth Service Clinic/Center
28Total paid$349.24M
24GClaims2,742,266
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Kentucky
Rank by total paid#1 of 8
Median peer was paid$115K
This provider vs. median3,047×
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 | 449,775 | $49.19M | |
| 2019 | 469,968 | $53.34M | |
| 2020 | 381,709 | $47.06M | |
| 2021 | 401,019 | $52.97M | |
| 2022 | 391,899 | $52.90M | |
| 2023 | 370,271 | $49.93M | |
| 2024incomplete | 277,625 | $43.86M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97535 | Self-care/home management training, each 15 minutes | 34% | 918,420 | 53,964 | $120.29M |
| 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) | 23% | 437,829 | 24,994 | $80.80M |
| S5108 | Home care training to home care client, per 15 minutes | 6.7% | 194,191 | 10,900 | $23.53M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 6.5% | 137,338 | 4,580 | $22.61M |
| T2022 | Case management, per month | 5.7% | 74,166 | 72,363 | $19.97M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.5% | 240,482 | 131,084 | $19.38M |
| H2020 | Therapeutic behavioral services, per diem | 3.0% | 62,430 | 9,051 | $10.43M |
| T2023 | Targeted case management; per month | 2.7% | 34,998 | 31,076 | $9.55M |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 2.3% | 76,672 | 76,008 | $8.02M |
| 90887 | 2.1% | 92,024 | 57,106 | $7.27M | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.6% | 25,528 | 3,220 | $5.56M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 1.5% | 80,888 | 5,390 | $5.12M |
40 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 47,768 | $2.79M |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 62,882 | $2.58M |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 55,025 | $1.97M |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 35,398 | $1.11M |
| S9485 | Crisis intervention mental health services, per diem | <1% | 5,220 | $1.04M |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 16,747 | $1.03M |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 10,226 | $736K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 48,631 | $734K |
| T1005 | Respite care services, up to 15 minutes | <1% | 14,916 | $711K |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | <1% | 10,210 | $570K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 4,803 | $490K |
| H0040 | Assertive community treatment program, per diem | <1% | 795 | $426K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 9,268 | $419K |
| H0032 | Mental health service plan development by non-physician | <1% | 4,828 | $376K |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | <1% | 6,083 | $335K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,304 | $312K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 2,041 | $182K |
| 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% | 2,844 | $157K |
| 99443 | <1% | 5,165 | $121K | |
| 98968 | <1% | 3,984 | $91K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 623 | $72K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,087 | $71K |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes | <1% | 2,085 | $70K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 940 | $52K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,481 | $49K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 494 | $37K |
| 99442 | <1% | 1,667 | $27K | |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | <1% | 253 | $25K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 887 | $23K |
| H0031 | Mental health assessment, by non-physician | <1% | 252 | $21K |
| 98967 | <1% | 1,066 | $17K | |
| 90785 | <1% | 3,854 | $16K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 2,370 | $14K |
| 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% | 219 | $11K |
| 99354 | <1% | 62 | $3K | |
| 99201 | <1% | 337 | $2K | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 158 | $2K |
| 99441 | <1% | 175 | $1K | |
| 98966 | <1% | 112 | $1K | |
| H2025 | Ongoing support to maintain employment, per 15 minutes | 0% | 40 | $0.00 |
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 officialKEENE, MATT (CEO)