Upper Manhattan Mental Health Center, INC.

Upper Manhattan Mental Health Center, INC. was paid $41.85M by Medicaid between Oct 2018 and Dec 2024, across 22 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 35% of everything it billed.

33Billing provider infoUPPER MANHATTAN MENTAL HEALTH CENTER, INC.
NEW YORK, NY 10031

33aNPI1053335620assigned 07/27/2006

33bProvider typeMental Health Counselor

28Total paid$41.85M

24GClaims395,770

24DCodes billed22

24AFirst – last monthOct 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in New York

Rank by total paid#2 of 529

Median peer was paid$77K

This provider vs. median541×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	203	$24K
2019	18,151	$1.76M
2020	76,216	$7.56M
2021	82,071	$7.87M
2022	84,811	$9.35M
2023	86,431	$9.62M
2024incomplete	47,887	$5.67M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	35%	102,724	51,277	$14.54M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	24%	94,964	57,821	$9.88M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	54,976	51,970	$5.55M
90847	Family psychotherapy with the patient present, 50 minutes	6.0%	11,306	6,402	$2.51M
90846	Family psychotherapy without the patient present, 50 minutes	4.2%	16,589	10,754	$1.77M
H0005	Alcohol and/or drug services; group counseling by a clinician	4.2%	29,916	4,313	$1.74M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.6%	7,319	6,326	$1.51M
H2012	Behavioral health day treatment, per hour	3.4%	12,997	1,107	$1.41M
H0038	Self-help/peer services, per 15 minutes	2.8%	21,562	5,058	$1.18M
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1.4%	4,784	4,568	$575K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	4,860	4,680	$514K
99051		<1%	27,696	16,006	$371K

10 more codes

90853	Group psychotherapy (other than of a multiple-family group)	<1%	2,419	$142K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	1,126	$57K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,263	$24K
H2010	Comprehensive medication services, per 15 minutes	<1%	400	$23K
99422		<1%	246	$20K
99401		<1%	462	$17K
H0001	Alcohol and/or drug assessment	<1%	38	$8K
90882		<1%	91	$4K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	17	$810.61
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	15	$767.04

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWITHERSPOON, WILLIAM (EXECUTIVE DIRECTOR)