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
LEXINGTON, KY 40503
33aNPI1982095212assigned 02/09/2015
33bProvider typeAddiction (Substance Use Disorder) Counselor
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
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 | |
|---|---|---|---|
| 2020 | 287 | $7K | |
| 2021 | 360 | $9K | |
| 2022 | 187 | $7K | |
| 2023 | 21 | $657.22 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.