Seven Counties Services, Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 5 procedure codes: 90833 at 1.9× median, 96101 at 1.7× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Counselor Peers
Total spending distribution among 9 providers in this specialty
This provider's total spending of $194.2M is at the 99th percentile among 9 Counselor providers.
Above 99th percentile for this specialty — higher spending than 8 of 9 peers
Total Paid
$194.2M
$194,182,599
Total Claims
2.4M
Beneficiaries
1.3M
1.8 claims/patient
Avg Cost/Claim
$82
#477 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Seven Counties Services, Inc. is a Counselor provider based in Louisville, KY. From the 2018–2024 period, this provider received $194.2M in Medicaid payments across 2.4M claims.
Why This Matters
This provider received $194.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 24,272 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 20% of total spending.
Psychotherapy, 60 minutes
$38.5M
380K claims · 19.8%
$24.5M
89K claims
$275.14
$300.13
Community transition, waiver; per service
$24.5M
89K claims · 12.6%
$21.3M
81K claims
$264.81
$317.54
Alcohol and/or drug services, acute detoxification, per diem
$21.3M
81K claims · 11.0%
Psychotherapy, 45 minutes
$12.7M
174K claims · 6.5%
$10.9M
178K claims
$60.82
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$10.9M
178K claims · 5.6%
$10.3M
102K claims
$101.37
$47.55
Interpretation/explanation of results
$10.3M
102K claims · 5.3%
$9.5M
71K claims
$133.67
$129.75
Alcohol and/or drug abuse, intensive outpatient, per hour
$9.5M
71K claims · 4.9%
$9.0M
88K claims
$102.03
$77.33
Family psychotherapy with patient, 50 min
$9.0M
88K claims · 4.6%
$8.1M
45K claims
$179.32
$467.51
Behavioral health; short-term residential, per diem
$8.1M
45K claims · 4.2%
Psychotherapy, 30 minutes
$6.7M
144K claims · 3.5%
$5.3M
8K claims
$702.12
$266.41
Assertive community treatment, face-to-face, per 15 minutes
$5.3M
8K claims · 2.7%
$4.1M
15K claims · 2.1%
$3.7M
38K claims
$97.55
$99.21
Psychiatric diagnostic evaluation
$3.7M
38K claims · 1.9%
$3.4M
519K claims
$6.62
$130.29
Medicaid certified CCBHC services
$3.4M
519K claims · 1.8%
$2.8M
8K claims
$332.98
$501.33
Crisis intervention mental health services, per diem
$2.8M
8K claims · 1.4%
$2.4M
101K claims
$23.79
$55.04
Self-help/peer services, per 15 minutes
$2.4M
101K claims · 1.2%
$2.3M
7K claims
$334.23
$253.79
Alcohol/drug treatment, per hour
$2.3M
7K claims · 1.2%
$2.2M
9K claims
$243.93
$164.03
Alcohol and/or drug abuse halfway house services, per hour
$2.2M
9K claims · 1.2%
$2.2M
30K claims
$72.74
$38.83
Psychotherapy, 30 min, add-on to E/M service
$2.2M
30K claims · 1.1%
Group psychotherapy
$2.1M
87K claims · 1.1%
$2.0M
14K claims
$139.07
$169.11
Community-based wrap-around services, per 15 min
$2.0M
14K claims · 1.0%
$1.5M
7K claims
$198.69
$84.12
Therapeutic behavioral services, per 15 min
$1.5M
7K claims · 0.8%
$1.5M
17K claims
$88.00
$96.24
Comprehensive community support services, per 15 min
$1.5M
17K claims · 0.7%
$1.2M
37K claims
$31.91
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$1.2M
37K claims · 0.6%
$1.1M
8K claims
$136.56
$108.91
Psychiatric diagnostic evaluation with medical services
$1.1M
8K claims · 0.6%
$1.1M
26K claims
$43.56
$35.43
Drug test, presumptive, by chemistry analyzers
$1.1M
26K claims · 0.6%
$731K
17K claims · 0.4%
$397K
4K claims
$99.77
$215.80
Crisis intervention service, per 15 minutes
$397K
4K claims · 0.2%
$323K
3K claims
$105.34
$76.61
Family psychotherapy without patient, 50 min
$323K
3K claims · 0.2%
$305K
909 claims · 0.2%
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