Behavioral
Illuminare LLC
Illuminare LLC was paid $2.23M by Medicaid between Oct 2021 and Nov 2024, across 12 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 63% of everything it billed.
33Billing provider infoILLUMINARE LLC
GREENVILLE, KY 42345
GREENVILLE, KY 42345
33aNPI1992288518assigned 09/10/2018
33bProvider typeClinical Social Worker
28Total paid$2.23M
24GClaims14,563
24DCodes billed12
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Clinical Social Worker providers in Kentucky
Rank by total paid#24 of 275
Median peer was paid$57K
This provider vs. median39×
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 | |
|---|---|---|---|
| 2021 | 361 | $16K | |
| 2022 | 1,844 | $153K | |
| 2023 | 8,624 | $1.24M | |
| 2024incomplete | 3,734 | $821K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 63% | 5,058 | 845 | $1.40M |
| T2023 | Targeted case management; per month | 19% | 1,461 | 1,248 | $427K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.8% | 3,108 | 1,612 | $197K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.2% | 2,801 | 1,840 | $93K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.2% | 506 | 461 | $27K |
| H0032 | Mental health service plan development by non-physician | 1.2% | 469 | 439 | $26K |
| H0031 | Mental health assessment, by non-physician | 1.2% | 473 | 441 | $26K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.2% | 469 | 436 | $26K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 65 | 49 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 50 | 39 | $3K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 74 | 59 | $2K |
| 90836 | <1% | 29 | 25 | $941.31 |
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 officialDAVIS, GRETCHEN (CEO)