Behavioral
Crossroads Addiction Recovery Effort, LLC
Crossroads Addiction Recovery Effort, LLC was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 50% of everything it billed.
33Billing provider infoCROSSROADS ADDICTION RECOVERY EFFORT, LLC
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1942667456assigned 01/28/2016
33bProvider typeCounselor
28Total paid$2.96M
24GClaims49,320
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Kentucky
Rank by total paid#11 of 55
Median peer was paid$202K
This provider vs. median15×
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 | 7,335 | $410K | |
| 2019 | 10,808 | $560K | |
| 2020 | 8,492 | $424K | |
| 2021 | 7,373 | $400K | |
| 2022 | 5,303 | $336K | |
| 2023 | 5,954 | $447K | |
| 2024incomplete | 4,055 | $389K |
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 | 50% | 25,759 | 12,766 | $1.48M |
| T2023 | Targeted case management; per month | 22% | 2,160 | 1,895 | $641K |
| H0038 | Self-help/peer services, per 15 minutes | 6.1% | 5,925 | 3,837 | $180K |
| H0031 | Mental health assessment, by non-physician | 5.5% | 3,144 | 2,498 | $162K |
| H0001 | Alcohol and/or drug assessment | 4.3% | 2,399 | 2,157 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 3,330 | 1,716 | $109K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 3.5% | 1,929 | 1,703 | $104K |
| H0032 | Mental health service plan development by non-physician | 2.6% | 1,536 | 1,362 | $77K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.1% | 592 | 490 | $32K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 487 | 359 | $22K |
| 99408 | <1% | 978 | 861 | $12K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 93 | 68 | $5K |
10 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 164 | $5K |
| 99409 | <1% | 149 | $5K | |
| 82075 | <1% | 297 | $3K | |
| 96150 | <1% | 61 | $2K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 66 | $1K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 65 | $974.02 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 21 | $656.95 |
| 80305 | <1% | 131 | $398.94 | |
| 81025 | <1% | 15 | $14.46 | |
| 96127 | <1% | 19 | $14.20 |
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 officialWHITE, JANELLE (CEO/OWNER)
| Provider | Location | Paid |
|---|---|---|
| J & J Diagnostics | Pikeville, KY | $729K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.