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KENTUCKY RIVER COMMUNITY CARE, INC

Counselor, Mental Health·HAZARD, KY·NPI: 1528017142Share

Compared to Counselor, Mental Health Peers

Total spending distribution among 27 providers in this specialty

P25MedianP75P90

This provider's total spending of $104.0M is at the 90th percentile among 27 Counselor, Mental Health providers.

Above 90th percentile for this specialty — higher spending than 24 of 27 peers

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$104.0M

$104,048,607

Total Claims

1.1M

Beneficiaries

452K

2.4 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$19.8M
-27%
2019
$14.5M
-6%
2020
$13.6M
-7%
2021
$12.7M
+6%
2022
$13.5M
+16%
2023
$15.6M
-7%
2024
$14.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 19% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$19.7M

273K claims · 18.9%

Your Cost: $72.10/claim|Median: $96.24
0.7× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$18.6M

103K claims · 17.9%

Your Cost: $181.52/claim|Median: $144.05
1.3× median
T2023Normal range

Community transition, waiver; per service

$17.0M

55K claims · 16.4%

Your Cost: $307.68/claim|Median: $300.13
1.0× median
H2021Normal range

Community-based wrap-around services, per 15 min

$14.5M

105K claims · 13.9%

Your Cost: $137.97/claim|Median: $169.11
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$10.0M

115K claims · 9.6%

Your Cost: $87.06/claim|Median: $85.66
1.0× median
90887Top 25%

Interpretation/explanation of results

$5.6M

62K claims · 5.4%

Your Cost: $91.25/claim|Median: $47.55
1.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$2.5M

68K claims · 2.4%

Your Cost: $36.85/claim|Median: $55.04
0.7× median
H0032Normal range

Mental health service plan development

$2.1M

24K claims · 2.0%

Your Cost: $88.97/claim|Median: $80.64
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$2.1M

51K claims · 2.0%

Your Cost: $41.41/claim|Median: $41.28
1.0× median
H0031Normal range

Mental health assessment by non-physician

$2.0M

23K claims · 1.9%

Your Cost: $84.50/claim|Median: $96.18
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$1.9M

29K claims · 1.8%

Your Cost: $64.84/claim|Median: $63.65
1.0× median
90853Normal range

Group psychotherapy

$1.5M

59K claims · 1.4%

Your Cost: $25.27/claim|Median: $25.02
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$1.4M

13K claims · 1.4%

Your Cost: $111.86/claim|Median: $84.12
1.3× median
H0002Top 25%

Behavioral health screening

$1.1M

12K claims · 1.0%

Your Cost: $89.58/claim|Median: $38.77
2.3× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$850K

30K claims · 0.8%

Your Cost: $28.30/claim|Median: $37.81
0.7× median
S9484Normal range

Crisis intervention mental health services, per hour

$490K

6,231 claims · 0.5%

Your Cost: $78.68/claim|Median: $249.51
0.3× median
Q3014Normal range

Telehealth originating site facility fee

$455K

31K claims · 0.4%

Your Cost: $14.73/claim|Median: $15.37
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$372K

5,108 claims · 0.4%

Your Cost: $72.91/claim|Median: $215.80
0.3× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$279K

4,790 claims · 0.3%

Your Cost: $58.19/claim|Median: $53.41
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$255K

2,854 claims · 0.2%

Your Cost: $89.26/claim|Median: $77.33
1.2× median
90846Normal range

Family psychotherapy without patient, 50 min

$249K

2,725 claims · 0.2%

Your Cost: $91.38/claim|Median: $76.61
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$224K

1,832 claims · 0.2%

Your Cost: $122.35/claim|Median: $108.91
1.1× median
T1007Normal range

Alcohol/drug services, treatment plan review

$215K

2,534 claims · 0.2%

Your Cost: $85.00/claim|Median: $64.10
1.3× median
H0001Normal range

Alcohol and/or drug assessment

$126K

1,418 claims · 0.1%

Your Cost: $88.87/claim|Median: $94.22
0.9× median
97530Normal range

Therapeutic activities, each 15 min

$96K

1,646 claims · 0.1%

Your Cost: $58.27/claim|Median: $33.11
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$92K

4,227 claims · 0.1%

Your Cost: $21.82/claim|Median: $25.06
0.9× median
99354Normal range

$68K

1,523 claims · 0.1%

Your Cost: $44.79/claim|Median: $54.96
0.8× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$19K

25 claims · 0.0%

Your Cost: $745.20/claim|Median: $266.41
2.8× median
90791Normal range

Psychiatric diagnostic evaluation

$18K

207 claims · 0.0%

Your Cost: $89.10/claim|Median: $99.21
0.9× median
97167Normal range

OT evaluation, high complexity

$18K

476 claims · 0.0%

Your Cost: $36.89/claim|Median: $70.96
0.5× median
96113Normal range

Developmental test admin, each additional 30 min

$13K

182 claims · 0.0%

Your Cost: $72.46/claim|Median: $77.06
0.9× median
99408Top 10%

$12K

285 claims · 0.0%

Your Cost: $42.23/claim|Median: $9.32
4.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$9K

498 claims · 0.0%

Your Cost: $18.07/claim|Median: $74.63
0.2× median
96130Normal range

Psychological testing evaluation by professional, first hour

$6K

90 claims · 0.0%

Your Cost: $64.51/claim|Median: $79.21
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$5K

109 claims · 0.0%

Your Cost: $42.84/claim|Median: $40.11
1.1× median
96150Top 25%

Health behavior assessment, initial

$5K

140 claims · 0.0%

Your Cost: $33.29/claim|Median: $17.83
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$4K

40 claims · 0.0%

Your Cost: $87.83/claim|Median: $74.09
1.2× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$3K

47 claims · 0.0%

Your Cost: $68.71/claim|Median: $57.85
1.2× median
96112Normal range

Developmental test administration

$3K

51 claims · 0.0%

Your Cost: $52.52/claim|Median: $102.95
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3K

193 claims · 0.0%

Your Cost: $13.31/claim|Median: $9.56
1.4× median
36415Top 10%

Collection of venous blood by venipuncture

$2K

409 claims · 0.0%

Your Cost: $5.13/claim|Median: $1.57
3.3× median
96131Normal range

Psychological testing evaluation, each additional hour

$2K

33 claims · 0.0%

Your Cost: $49.00/claim|Median: $133.38
0.4× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$1K

37 claims · 0.0%

Your Cost: $31.08/claim|Median: $129.75
0.2× median
97533Normal range

$490

18 claims · 0.0%

Your Cost: $27.20/claim|Median: $48.71
0.6× median
96110Top 10%

Developmental screening, per standardized instrument

$406

13 claims · 0.0%

Your Cost: $31.26/claim|Median: $9.10
3.4× median
H0025Normal range

Behavioral health prevention education, per session

$183

23 claims · 0.0%

Your Cost: $7.95/claim|Median: $36.25
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$120

138 claims · 0.0%

Your Cost: $0.87/claim|Median: $3.67
0.2× median
80305Normal range

$12

12 claims · 0.0%

Your Cost: $1.00/claim|Median: $7.44
0.1× median
0001FNormal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.48
87880Normal range

Streptococcus, Group A, rapid antigen detection

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48

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