T.W. Ponessa & Associates Counseling Services, INC.

T.W. Ponessa & Associates Counseling Services, INC. was paid $63.64M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is H2021, Community-based wrap-around services, per 15 minutes — 34% of everything it billed.

33Billing provider infoT.W. PONESSA & ASSOCIATES COUNSELING SERVICES, INC.
LANCASTER, PA 17603

33aNPI1053341859assigned 07/04/2006

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$63.64M

24GClaims675,210

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#5 of 517

Median peer was paid$1.23M

This provider vs. median52×

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	718	$46K
2019	771	$50K
2020	54,046	$1.76M
2021	193,141	$6.16M
2022	158,503	$18.78M
2023	137,739	$18.40M
2024incomplete	130,292	$18.44M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2021	Community-based wrap-around services, per 15 minutes	34%	177,820	15,680	$21.42M
H0032	Mental health service plan development by non-physician	22%	105,500	31,453	$14.15M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	18%	141,776	65,104	$11.50M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	7.3%	69,494	38,601	$4.67M
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	4.8%	15,057	1,190	$3.04M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	4.1%	29,570	8,792	$2.64M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	2.8%	6,355	1,868	$1.80M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.3%	10,556	10,200	$825K
90792	Psychiatric diagnostic evaluation with medical services	1.1%	3,651	3,617	$673K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	6,367	4,603	$491K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	15,198	14,653	$481K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	18,845	15,232	$449K

10 more codes

90791	Psychiatric diagnostic evaluation	<1%	2,978	$392K
96127		<1%	57,039	$381K
H0046	Mental health services, not otherwise specified	<1%	4,464	$293K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	3,222	$168K
99214	Doctor's office visit, returning patient (more involved)	<1%	1,238	$124K
H0034	Medication training and support, per 15 minutes	<1%	2,996	$63K
H0031	Mental health assessment, by non-physician	<1%	789	$43K
H2014	Skills training and development, per 15 minutes	<1%	2,053	$26K
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 assessment, counseling; crisis intervention, and activity therapies or education	<1%	70	$7K
H2010	Comprehensive medication services, per 15 minutes	<1%	172	$3K

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 officialDEGUIRE, CATHY (CEO)