Agency
Mary Lee Foundation
Mary Lee Foundation was paid $6.16M by Medicaid between Jun 2020 and Nov 2024, across 22 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 63% of everything it billed.
33Billing provider infoMARY LEE FOUNDATION
AUSTIN, TX 78704
AUSTIN, TX 78704
33aNPI1063614022assigned 06/01/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$6.16M
24GClaims50,329
24DCodes billed22
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Texas
Rank by total paid#37 of 165
Median peer was paid$1.02M
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2020 | 335 | $22K | |
| 2021 | 13,564 | $588K | |
| 2022 | 10,522 | $1.66M | |
| 2023 | 13,729 | $2.06M | |
| 2024incomplete | 12,179 | $1.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 63% | 2,355 | 983 | $3.87M |
| H2014 | Skills training and development, per 15 minutes | 8.5% | 13,197 | 702 | $526K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 3.8% | 2,220 | 387 | $234K |
| T2020 | Day habilitation, waiver; per diem | 3.6% | 1,948 | 402 | $221K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 2.4% | 2,419 | 427 | $147K |
| S8990 | Physical or manipulative therapy performed for maintenance rather than restoration | 2.4% | 2,007 | 254 | $147K |
| M0354 | 2.3% | 3,619 | 359 | $141K | |
| M0166 | 2.1% | 893 | 36 | $132K | |
| M0116 | 2.1% | 3,842 | 232 | $128K | |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 2.0% | 3,486 | 461 | $125K |
| M0115 | 1.8% | 3,889 | 227 | $113K | |
| M0133 | 1.8% | 1,356 | 273 | $110K |
10 more codes
| M0171 | 1.4% | 1,391 | $84K | |
| M0372 | <1% | 4,113 | $61K | |
| T1002 | Rn services, up to 15 minutes | <1% | 1,010 | $31K |
| M0299 | <1% | 1,312 | $28K | |
| M0113 | <1% | 56 | $25K | |
| D0120 | Dental checkup, returning patient | <1% | 55 | $18K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 988 | $11K |
| M0315 | <1% | 108 | $4K | |
| M0101 | <1% | 33 | $1K | |
| M0248 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | <1% | 32 | $114.06 |
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 officialLILLJEDAHL, DON (DIRECTOR OF FOUNATION)