Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Wheeler, Richard

Wheeler, Richard was paid $23K by Medicaid between Jul 2020 and Feb 2023, across 3 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 61% of everything it billed.

33Billing provider infoWHEELER, RICHARD
LEXINGTON, KY 40503
33aNPI1982095212assigned 02/09/2015
28Total paid$23K
24GClaims855
24DCodes billed3
24AFirst – last monthJul 2020 – Feb 2023
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky

Rank by total paid#85 of 112
Median peer was paid$240K
This provider vs. median0.1×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2020287$7K
2021360$9K
2022187$7K
202321$657.22
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0038 Self-help/peer services, per 15 minutes 61% 627 57 $14K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 36% 207 86 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.8% 21 20 $657.22

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.