Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pennsylvania Comprehensive Behavioral Health Services, LLC

Pennsylvania Comprehensive Behavioral Health Services, LLC was paid $11.86M by Medicaid between Nov 2019 and Dec 2024, across 21 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 24% of everything it billed.

33Billing provider infoPENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, LLC
RED LION, PA 17356
33aNPI1114980489assigned 04/08/2006
28Total paid$11.86M
24GClaims109,474
24DCodes billed21
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers

Next to other Adult Mental Health Clinic/Center providers in Pennsylvania

Rank by total paid#2 of 45
Median peer was paid$1.61M
This provider vs. median7.4×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201929$2K
20207,466$516K
202123,720$1.61M
202222,419$1.75M
202329,208$3.99M
2024incomplete26,632$3.99M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 24% 35,987 17,742 $2.87M
H0032 Mental health service plan development by non-physician 21% 18,943 5,267 $2.46M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 17% 10,835 3,523 $2.00M
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 12% 9,458 891 $1.47M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 10% 13,509 7,471 $1.23M
H2021 Community-based wrap-around services, per 15 minutes 5.9% 5,022 442 $702K
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 3.2% 4,689 1,219 $384K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.9% 3,926 3,660 $226K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 1,675 1,552 $128K
H0046 Mental health services, not otherwise specified <1% 1,114 345 $92K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 1,729 1,400 $67K
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% 620 586 $62K
9 more codes
90792 Psychiatric diagnostic evaluation with medical services <1% 205 $48K
97151 <1% 256 $41K
H0034 Medication training and support, per 15 minutes <1% 315 $24K
90791 Psychiatric diagnostic evaluation <1% 143 $19K
H0031 Mental health assessment, by non-physician <1% 574 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 221 $12K
90847 Family psychotherapy with the patient present, 50 minutes <1% 88 $5K
90846 Family psychotherapy without the patient present, 50 minutes <1% 36 $1K
96127 <1% 129 $17.58

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 officialMALETZ, HEATHER (VICE PRESIDENT)