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NPI 1598793671 · Louisville, KY · Mental Health Clinic/Center (Including Community Mental Health Center)
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Seven Counties Services, Inc. is a mental health clinic/center (including community mental health center) provider located in Louisville, Kentucky. This profile covers 0 Medicare and 78 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Seven Counties Services, Inc. |
| Address | 10401 Linn Station Rd Ste 100 |
| City | Louisville |
| State | KY |
| ZIP | 40223 |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| NPI Enumerated | June 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $194.4M |
| Medicare | $0 |
This provider is effectively single-payer at scale: there is no Medicare billing on file and all documented federal billing is Medicaid, totaling $194.4M in lifetime Medicaid revenue. Analysts should treat SEVEN COUNTIES SERVICES, INC. as a Medicaid-focused behavioral health entity rather than a mixed Medicare/Medicaid provider.
Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 44.4% of total Medicaid revenue, driven by 90837 ($38.4M, 20.2%), T2023 ($24.5M, 12.9%), and H0011 ($21.4M, 11.3%). This level of concentration indicates a small set of service lines generate nearly half of billed Medicaid dollars.
The code mix signals a comprehensive behavioral health and substance-use treatment operation. High-revenue psychotherapy codes (90837, 90834, 90832) combined with substantial targeted case management (T2023) and multiple detoxification/residential addiction codes (H0011, H0015, H0018, H0009) point to co-located outpatient therapy, case management, and both short-term residential and acute detoxification services.
SEVEN COUNTIES is a high-volume statewide provider for individual psychotherapy and E/M services: 90837 ranks #2 of 1266 providers in-state (100th percentile; extreme outlier) and 90834 ranks #1 of 504 providers in-state (100th percentile; extreme outlier), while 99214 appears at very high volume too (178.4K claims, $10.9M, ranks #15 of 2462; 99th percentile). These rankings indicate the organization is an outlier in delivering longer psychotherapy sessions and higher-level outpatient visits.
The provider also shows a dominant operational footprint in programmatic, per-diem, and intensive models of care. H0040 (Assertive community treatment) is $5.3M and ranks #1 of 14 (100th percentile), and T1040 (community behavioral health clinic per diem) is $3.6M and ranks #1 of 4 (100th percentile), which together suggest investment in structured program-based delivery and high per-diem utilization relative to peers.
Substance-use disorder services form a major part of the business: H0011 ($21.4M, 11.3%) and H0015 ($9.5M, 5.0%) are both top contributors and H0011 ranks #5 of 72 (94th percentile; typical) while H0015 ranks #3 of 225 (99th percentile; extreme outlier). Additional SUD-related codes such as H0018, H0009, H2036, and H2034 further confirm a broad continuum of addiction treatment across inpatient, outpatient, intensive outpatient, and transitional residential settings.
Across many codes the provider is a statewide leader: multiple services are 100th-percentile or top-ranked (for example 90837 #2/1266, 90834 #1/504, 90791 #1/682, H0009 #1/6), signaling dominant market share in several behavioral health service lines within Kentucky. At the same time, a few codes are described as "typical, unremarkable" in volume, showing the provider’s leadership is concentrated in specific high-volume services rather than uniform dominance across every CPT/HPCPCS.
The organization has established tenure: its NPI was enumerated on 2006-06-29 (~20 years ago), which supports interpreting the current high volumes and extensive service mix as the output of a long-standing, mature operation rather than a short-term or newly expanded billing footprint.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
78 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 379,820 | $100 | $38.4M |
| T2023 | Targeted case management; per month | 89,160 | $280 | $24.5M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 80,620 | $270 | $21.4M |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 174,280 | $70 | $12.7M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 178,440 | $60 | $10.9M |
| 90887 | In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or… | 101,820 | $100 | $10.3M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 71,100 | $130 | $9.5M |
| 90847 | A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the… | 87,820 | $100 | $9M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 45,410 | $180 | $8.1M |
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 144,180 | $50 | $6.8M |
Showing 1–10 of 78
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
78 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 5 | 70 | 7,180 | $270 | $6.8M |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 12 | 40 | 3,120 | $220 | $3M |
| S9485 | Crisis intervention mental health services, per diem | 5 | 10 | 7,960 | $280 | $2.5M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 3 | 50 | 4,480 | $220 | $2.4M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1 | 10 | 303,880 | $10 | $2.4M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 67 | 180 | 1,320 | $220 | $1.9M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 8 | 50 | 820 | $190 | $1.7M |
| S9128 | Speech therapy, in the home, per diem | 24 | 30 | 8,300 | $70 | $1.7M |
| H0040 | Assertive community treatment program, per diem | 1 | 10 | 1,230 | $670 | $1.4M |
| H2020 | Therapeutic behavioral services, per diem | 56 | 130 | 1,730 | $180 | $1.2M |
Showing 1–10 of 78
Other providers in the same ZIP code as Seven Counties Services, Inc., ranked by combined Medicare and Medicaid revenue.
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