Residential
Phoenix Group Home LLC
Phoenix Group Home LLC was paid $98.99M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 32% of everything it billed.
33Billing provider infoPHOENIX GROUP HOME LLC
PORTSMOUTH, OH 45662
PORTSMOUTH, OH 45662
33aNPI1083146013assigned 03/29/2017
33bProvider typeChildren's Substance Abuse Rehabilitation Facility
28Total paid$98.99M
24GClaims934,033
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Children's Substance Abuse Rehabilitation Facility providers in Ohio
Rank by total paid#1 of 5
Median peer was paid$1.86M
This provider vs. median53×
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 | 32,019 | $3.47M | |
| 2019 | 49,725 | $4.47M | |
| 2020 | 81,894 | $8.52M | |
| 2021 | 117,742 | $13.14M | |
| 2022 | 180,518 | $19.15M | |
| 2023 | 231,951 | $23.50M | |
| 2024incomplete | 240,184 | $26.75M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 32% | 317,015 | 86,666 | $31.52M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 30% | 241,320 | 105,623 | $29.74M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 18% | 178,864 | 88,608 | $17.89M |
| 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 | 6.3% | 52,156 | 42,930 | $6.25M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 5.6% | 60,720 | 36,894 | $5.54M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 23,049 | 18,926 | $3.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 20,795 | 17,920 | $1.63M |
| 99205 | Prolong outpt/office vis | <1% | 3,745 | 3,429 | $785K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 10,649 | 7,467 | $572K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 8,133 | 6,222 | $562K |
| 99354 | <1% | 5,542 | 4,228 | $346K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 3,082 | 2,853 | $328K |
15 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,264 | $227K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 1,680 | $156K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 834 | $37K |
| 90785 | <1% | 3,071 | $26K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 182 | $15K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 194 | $11K |
| 99415 | Prolong outpt/office vis | <1% | 1,003 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 71 | $8K |
| 99349 | <1% | 59 | $4K | |
| 99355 | <1% | 232 | $3K | |
| 99350 | Prolong home eval add 15m | <1% | 40 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | $299.46 |
| 99344 | <1% | 26 | $210.78 | |
| 99348 | <1% | 80 | $194.76 | |
| 90875 | 0% | 203 | $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 officialLUNT, MARSHAL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Path Integrated Healthcare | Burlington, VT | $515K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.