Behavioral
Ethan Health LLC
Ethan Health LLC was paid $13.05M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T2023, Targeted case management; per month — 28% of everything it billed.
33Billing provider infoETHAN HEALTH LLC
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1962851584assigned 06/04/2016
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$13.05M
24GClaims184,130
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#5 of 112
Median peer was paid$240K
This provider vs. median54×
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 | 19,251 | $1.38M | |
| 2019 | 31,551 | $1.78M | |
| 2020 | 29,894 | $1.66M | |
| 2021 | 29,615 | $1.80M | |
| 2022 | 24,702 | $1.71M | |
| 2023 | 24,311 | $2.12M | |
| 2024incomplete | 24,806 | $2.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 28% | 12,390 | 10,401 | $3.62M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 48,623 | 18,461 | $1.88M |
| H2027 | Psychoeducational service, per 15 minutes | 14% | 23,021 | 8,526 | $1.87M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 11% | 34,403 | 17,321 | $1.40M |
| 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 | 7.6% | 9,576 | 1,189 | $990K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.4% | 9,973 | 7,686 | $704K |
| H0038 | Self-help/peer services, per 15 minutes | 4.0% | 19,685 | 6,452 | $528K |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 3.6% | 2,189 | 189 | $472K |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 3.3% | 1,843 | 156 | $432K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 2.3% | 5,260 | 4,628 | $301K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 2,834 | 2,542 | $208K |
| H0001 | Alcohol and/or drug assessment | 1.5% | 3,261 | 2,906 | $191K |
19 more codes
| 99205 | Prolong outpt/office vis | <1% | 1,198 | $96K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 1,519 | $86K |
| 90838 | <1% | 1,416 | $72K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,275 | $61K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,117 | $53K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,075 | $39K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,319 | $17K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 200 | $15K |
| 96151 | <1% | 216 | $6K | |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | <1% | 1,238 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 20 | $2K |
| 90836 | <1% | 21 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 80 | $975.03 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $675.68 |
| 81025 | <1% | 198 | $530.59 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 13 | $503.42 |
| 80305 | <1% | 33 | $141.12 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 93 | $117.72 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $84.20 |
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 officialFENN, ASHLEY (CFO)