Clinic
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
RED LION, PA 17356
33aNPI1114980489assigned 04/08/2006
33bProvider typeAdult Mental Health Clinic/Center
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
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 | |
|---|---|---|---|
| 2019 | 29 | $2K | |
| 2020 | 7,466 | $516K | |
| 2021 | 23,720 | $1.61M | |
| 2022 | 22,419 | $1.75M | |
| 2023 | 29,208 | $3.99M | |
| 2024incomplete | 26,632 | $3.99M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)