Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

A BRIGHTER FUTURE

Community/Behavioral Health·ASHLAND, KY·NPI: 1417228594Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$39.7M

$39,731,964

Total Claims

214K

Beneficiaries

21K

10.2 claims/patient

Avg Cost/Claim

$185

Monthly Spending Trend

Yearly Spending

2018
$5.5M
+1%
2019
$5.5M
-16%
2020
$4.6M
+14%
2021
$5.2M
+30%
2022
$6.8M
-9%
2023
$6.2M
-2%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 36% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$14.3M

67K claims · 35.9%

Your Cost: $213.52/claim|Median: $331.94
0.6× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$11.3M

39K claims · 28.5%

Your Cost: $291.90/claim|Median: $74.63
3.9× median
97535Top 5%

Self-care/home management training, per 15 minutes

$7.1M

46K claims · 18.0%

Your Cost: $155.89/claim|Median: $18.18
8.6× median
T1019Top 25%

Personal care services, per 15 min

$3.5M

14K claims · 8.8%

Your Cost: $256.92/claim|Median: $82.47
3.1× median
T2021Normal range

Day habilitation, waiver; per 15 min

$3.3M

47K claims · 8.3%

Your Cost: $70.85/claim|Median: $150.51
0.5× median
T1005Normal range

Respite care services, per 15 minutes

$166K

2,478 claims · 0.4%

Your Cost: $67.00/claim|Median: $71.40
0.9× median