Windrush Behavioral Health, LLC
Windrush Behavioral Health, LLC was paid $7.06M by Medicaid between Jan 2018 and Jun 2022, across 38 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 34% of everything it billed.
33Billing provider infoWINDRUSH BEHAVIORAL HEALTH, LLC
LUTHERVILLE, MD 21093
LUTHERVILLE, MD 21093
33aNPI1124404421assigned 08/10/2015
33bProvider typeLegal Medicine
28Total paid$7.06M
24GClaims144,885
24DCodes billed38
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Legal Medicine providers in Maryland
Rank by total paid#3 of 11
Median peer was paid$602K
This provider vs. median12×
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 | 38,714 | $2.48M | |
| 2019 | 34,884 | $1.90M | |
| 2020 | 29,825 | $1.25M | |
| 2021 | 32,875 | $1.22M | |
| 2022 | 8,587 | $211K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 34% | 48,825 | 11,561 | $2.41M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 13,326 | 4,778 | $976K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 11% | 22,366 | 20,336 | $788K |
| 99223 | Prolong inpt eval add15 m | 8.8% | 3,901 | 3,732 | $620K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.5% | 13,128 | 10,789 | $531K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 5.0% | 11,885 | 4,969 | $357K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.5% | 2,671 | 2,532 | $317K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.1% | 3,205 | 3,088 | $220K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.4% | 1,907 | 1,858 | $172K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.3% | 1,091 | 838 | $91K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 1,566 | 1,407 | $86K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 3,315 | 3,165 | $62K |
26 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 723 | $54K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 5,919 | $51K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,085 | $51K |
| 99306 | Prolong nursin fac eval 15m | <1% | 900 | $46K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 633 | $46K |
| 99305 | <1% | 471 | $39K | |
| 99283 | Emergency room visit (moderate) | <1% | 783 | $34K |
| 99493 | <1% | 2,662 | $23K | |
| 99285 | Emergency room visit (most serious) | <1% | 170 | $17K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 873 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 73 | $11K |
| 99310 | Prolong nursin fac eval 15m | <1% | 282 | $10K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 914 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 31 | $5K |
| 99307 | <1% | 98 | $4K | |
| 99356 | <1% | 127 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 68 | $3K |
| Q3014 | Telehealth originating site facility fee | <1% | 152 | $2K |
| 99484 | <1% | 66 | $1K | |
| 90836 | <1% | 14 | $1K | |
| 99304 | <1% | 36 | $635.42 | |
| 99492 | <1% | 416 | $276.58 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | <1% | 26 | $220.76 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 20 | $192.17 |
| G8482 | Influenza immunization administered or previously received | <1% | 36 | $12.52 |
| 90837 | Psychotherapy session, about an hour | 0% | 121 | $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 officialSWANTON, EDWARD (CEO/GERIATRIC PHYSIATRIST)
| Provider | Location | Paid |
|---|---|---|
| Windrush Behavioral Health, LLC | Lutherville, MD | $533K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.