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Addiction Recovery Care LLC

Community Based Residential Treatment Facility, Mental Illness·Louisa, KY·NPI: 1730421553Share

Compared to Community Based Residential Treatment Facility, Mental Illness Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $309.0M is at the 99th percentile among 5 Community Based Residential Treatment Facility, Mental Illness providers.

Above 99th percentile for this specialty — higher spending than 4 of 5 peers

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

Total Paid

$309.0M

$308,959,225

Total Claims

2.4M

Beneficiaries

556K

4.4 claims/patient

Avg Cost/Claim

$127

#234 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Addiction Recovery Care LLC is a Community Based Residential Treatment Facility, Mental Illness provider based in Louisa, KY. From the 2018–2024 period, this provider received $309.0M in Medicaid payments across 2.4M claims.

Why This Matters

This provider received $309.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 38,619 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 579% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$12.5M
+63%
2019
$20.3M
+28%
2020
$26.0M
+96%
2021
$51.1M
+9%
2022
$55.5M
+6%
2023
$58.7M
+44%
2024
$84.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2027 (Psychoeducational service, per 15 minutes)) accounts for 24% of total spending.

H2027Normal range

Psychoeducational service, per 15 minutes

$74.8M

415K claims · 24.2%

Your Cost: $180.30/claim|Median: $82.72
2.2× median
H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$55.9M

213K claims · 18.1%

Your Cost: $261.81/claim|Median: $317.54
0.8× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$53.9M

242K claims · 17.4%

Your Cost: $222.45/claim|Median: $164.03
1.4× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$27.5M

164K claims · 8.9%

Your Cost: $167.69/claim|Median: $148.53
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$27.3M

859K claims · 8.8%

Your Cost: $31.81/claim|Median: $55.04
0.6× median
H0015Normal range

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

$26.7M

228K claims · 8.6%

Your Cost: $117.26/claim|Median: $129.75
0.9× median
T2023Normal range

Community transition, waiver; per service

$17.7M

61K claims · 5.7%

Your Cost: $289.06/claim|Median: $300.13
1.0× median
H0018Normal range

Behavioral health; short-term residential, per diem

$16.1M

81K claims · 5.2%

Your Cost: $197.17/claim|Median: $467.51
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$2.2M

30K claims · 0.7%

Your Cost: $75.11/claim|Median: $85.66
0.9× median
S9485Normal range

Crisis intervention mental health services, per diem

$1.2M

4,837 claims · 0.4%

Your Cost: $237.77/claim|Median: $501.33
0.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.1M

32K claims · 0.3%

Your Cost: $32.94/claim|Median: $35.43
0.9× median
T1007Normal range

Alcohol/drug services, treatment plan review

$1.0M

17K claims · 0.3%

Your Cost: $59.83/claim|Median: $64.10
0.9× median
H2036Normal range

Alcohol/drug treatment, per hour

$979K

3,698 claims · 0.3%

Your Cost: $264.65/claim|Median: $253.79
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$898K

23K claims · 0.3%

Your Cost: $38.70/claim|Median: $41.28
0.9× median
H0031Normal range

Mental health assessment by non-physician

$415K

7,468 claims · 0.1%

Your Cost: $55.55/claim|Median: $96.18
0.6× median
H0001Normal range

Alcohol and/or drug assessment

$391K

6,487 claims · 0.1%

Your Cost: $60.35/claim|Median: $94.22
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$345K

6,687 claims · 0.1%

Your Cost: $51.61/claim|Median: $63.65
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$221K

2,727 claims · 0.1%

Your Cost: $81.11/claim|Median: $99.21
0.8× median
90853Normal range

Group psychotherapy

$157K

11K claims · 0.1%

Your Cost: $13.99/claim|Median: $25.02
0.6× median
99213Normal range

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

$148K

5,335 claims · 0.0%

Your Cost: $27.79/claim|Median: $37.81
0.7× median
99203Normal range

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

$54K

1,523 claims · 0.0%

Your Cost: $35.47/claim|Median: $57.85
0.6× median
80305Normal range

$47K

8,048 claims · 0.0%

Your Cost: $5.81/claim|Median: $7.44
0.8× median
99484Normal range

$24K

2,323 claims · 0.0%

Your Cost: $10.19/claim|Median: $7.13
1.4× median
99204Normal range

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

$11K

205 claims · 0.0%

Your Cost: $55.12/claim|Median: $84.03
0.7× median
90839Normal range

Psychotherapy for crisis, first 60 min

$9K

131 claims · 0.0%

Your Cost: $65.42/claim|Median: $83.98
0.8× median
S9484Normal range

Crisis intervention mental health services, per hour

$8K

133 claims · 0.0%

Your Cost: $62.65/claim|Median: $249.51
0.3× median
99354Normal range

$7K

147 claims · 0.0%

Your Cost: $46.01/claim|Median: $54.96
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$7K

236 claims · 0.0%

Your Cost: $27.77/claim|Median: $25.06
1.1× median
H0002Normal range

Behavioral health screening

$3K

46 claims · 0.0%

Your Cost: $71.75/claim|Median: $38.77
1.9× median
99214Normal range

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

$2K

63 claims · 0.0%

Your Cost: $29.30/claim|Median: $53.41
0.5× median

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