Behavioral
Paradigm Mental Health and Wellness LLC
Paradigm Mental Health and Wellness LLC was paid $1.47M by Medicaid between Nov 2020 and Dec 2024, across 10 billing codes. Its largest line is 90833, Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) — 46% of everything it billed.
33Billing provider infoPARADIGM MENTAL HEALTH AND WELLNESS LLC
MEDFORD, OR 97501
MEDFORD, OR 97501
33aNPI1073147716assigned 03/02/2020
33bProvider typeProfessional Counselor
28Total paid$1.47M
24GClaims15,043
24DCodes billed10
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Oregon
Rank by total paid#5 of 188
Median peer was paid$77K
This provider vs. median19×
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 | 60 | $2K | |
| 2021 | 1,053 | $66K | |
| 2022 | 2,795 | $166K | |
| 2023 | 5,594 | $562K | |
| 2024incomplete | 5,541 | $673K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 46% | 7,187 | 6,190 | $674K |
| 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 | 26% | 4,350 | 3,845 | $375K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 1,683 | 1,026 | $200K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.3% | 742 | 279 | $137K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 408 | 375 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 523 | 491 | $31K |
| 99205 | Prolong outpt/office vis | <1% | 21 | 18 | $2K |
| 99417 | Prolong home eval add 15m | <1% | 28 | 12 | $412.02 |
| 90887 | <1% | 14 | 12 | $107.81 | |
| 96127 | 0% | 87 | 84 | $0.00 |
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 officialFICKES, PAUL (OWNER)