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.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2027Psychoeducational service, per 15 minutesSee all providers →

$74.8M

415K claims

$180.30

$82.72

2.2×

Normal range

H2027Normal range

Psychoeducational service, per 15 minutes

$74.8M

415K claims · 24.2%

Your Cost: $180.30/claim|Median: $82.72

2.2× median

H0011Alcohol and/or drug services, acute detoxification, per diemSee all providers →

$55.9M

213K claims

$261.81

$317.54

0.8×

Normal range

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

H2034Alcohol and/or drug abuse halfway house services, per hourSee all providers →

$53.9M

242K claims

$222.45

$164.03

1.4×

Normal range

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

H0035Mental health partial hospitalization, treatment, per hourSee all providers →

$27.5M

164K claims

$167.69

$148.53

1.1×

Normal range

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

H0038Self-help/peer services, per 15 minutesSee all providers →

$27.3M

859K claims

$31.81

$55.04

0.6×

Normal range

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

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$26.7M

228K claims

$117.26

$129.75

0.9×

Normal range

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

T2023Community transition, waiver; per serviceSee all providers →

$17.7M

61K claims

$289.06

$300.13

1.0×

Normal range

T2023Normal range

Community transition, waiver; per service

$17.7M

61K claims · 5.7%

Your Cost: $289.06/claim|Median: $300.13

1.0× median

H0018Behavioral health; short-term residential, per diemSee all providers →

$16.1M

81K claims

$197.17

$467.51

0.4×

Normal range

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

90837Psychotherapy, 60 minutesSee all providers →

$2.2M

30K claims

$75.11

$85.66

0.9×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$2.2M

30K claims · 0.7%

Your Cost: $75.11/claim|Median: $85.66

0.9× median

S9485Crisis intervention mental health services, per diemSee all providers →

$1.2M

5K claims

$237.77

$501.33

0.5×

Normal range

S9485Normal range

Crisis intervention mental health services, per diem

$1.2M

5K claims · 0.4%

Your Cost: $237.77/claim|Median: $501.33

0.5× median

80307Drug test, presumptive, by chemistry analyzersSee all providers →

$1.1M

32K claims

$32.94

$35.43

0.9×

Normal range

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

T1007Alcohol/drug services, treatment plan reviewSee all providers →

$1.0M

17K claims

$59.83

$64.10

0.9×

Normal range

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

H2036Alcohol/drug treatment, per hourSee all providers →

$979K

4K claims

$264.65

$253.79

1.0×

Normal range

H2036Normal range

Alcohol/drug treatment, per hour

$979K

4K claims · 0.3%

Your Cost: $264.65/claim|Median: $253.79

1.0× median

90832Psychotherapy, 30 minutesSee all providers →

$898K

23K claims

$38.70

$41.28

0.9×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$898K

23K claims · 0.3%

Your Cost: $38.70/claim|Median: $41.28

0.9× median

H0031Mental health assessment by non-physicianSee all providers →

$415K

7K claims

$55.55

$96.18

0.6×

Normal range

H0031Normal range

Mental health assessment by non-physician

$415K

7K claims · 0.1%

Your Cost: $55.55/claim|Median: $96.18

0.6× median

H0001Alcohol and/or drug assessmentSee all providers →

$391K

6K claims

$60.35

$94.22

0.6×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$391K

6K claims · 0.1%

Your Cost: $60.35/claim|Median: $94.22

0.6× median

90834Psychotherapy, 45 minutesSee all providers →

$345K

7K claims

$51.61

$63.65

0.8×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$345K

7K claims · 0.1%

Your Cost: $51.61/claim|Median: $63.65

0.8× median

90791Psychiatric diagnostic evaluationSee all providers →

$221K

3K claims

$81.11

$99.21

0.8×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$221K

3K claims · 0.1%

Your Cost: $81.11/claim|Median: $99.21

0.8× median

90853Group psychotherapySee all providers →

$157K

11K claims

$13.99

$25.02

0.6×

Normal range

90853Normal range

Group psychotherapy

$157K

11K claims · 0.1%

Your Cost: $13.99/claim|Median: $25.02

0.6× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$148K

5K claims

$27.79

$37.81

0.7×

Normal range

99213Normal range

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

$148K

5K claims · 0.0%

Your Cost: $27.79/claim|Median: $37.81

0.7× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$54K

2K claims

$35.47

$57.85

0.6×

Normal range

99203Normal range

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

$54K

2K claims · 0.0%

Your Cost: $35.47/claim|Median: $57.85

0.6× median

80305 See all providers →

$47K

8K claims

$5.81

$7.44

0.8×

Normal range

80305Normal range

$47K

8K claims · 0.0%

Your Cost: $5.81/claim|Median: $7.44

0.8× median

99484 See all providers →

$24K

2K claims

$10.19

$7.13

1.4×

Normal range

99484Normal range

$24K

2K claims · 0.0%

Your Cost: $10.19/claim|Median: $7.13

1.4× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$11K

205 claims

$55.12

$84.03

0.7×

Normal range

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

90839Psychotherapy for crisis, first 60 minSee all providers →

$9K

131 claims

$65.42

$83.98

0.8×

Normal range

90839Normal range

Psychotherapy for crisis, first 60 min

$9K

131 claims · 0.0%

Your Cost: $65.42/claim|Median: $83.98

0.8× median

S9484Crisis intervention mental health services, per hourSee all providers →

$8K

133 claims

$62.65

$249.51

0.3×

Normal range

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

99354 See all providers →

$7K

147 claims

$46.01

$54.96

0.8×

Normal range

99354Normal range

$7K

147 claims · 0.0%

Your Cost: $46.01/claim|Median: $54.96

0.8× median

99212Office/outpatient visit, low complexitySee all providers →

$7K

236 claims

$27.77

$25.06

1.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$7K

236 claims · 0.0%

Your Cost: $27.77/claim|Median: $25.06

1.1× median

H0002Behavioral health screeningSee all providers →

$3K

46 claims

$71.75

$38.77

1.9×

Normal range

H0002Normal range

Behavioral health screening

$3K

46 claims · 0.0%

Your Cost: $71.75/claim|Median: $38.77

1.9× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$2K

63 claims

$29.30

$53.41

0.6×

Normal range

99214Normal range

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

$2K

63 claims · 0.0%

Your Cost: $29.30/claim|Median: $53.41

0.6× median

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