Behavioral
Southeastern Psychiatric Management, INC.
Southeastern Psychiatric Management, INC. was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 70% of everything it billed.
33Billing provider infoSOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.
GADSDEN, AL 35904
GADSDEN, AL 35904
33aNPI1144384637assigned 12/20/2006
33bProvider typeMental Health Counselor
28Total paid$1.27M
24GClaims28,357
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Alabama
Rank by total paid#4 of 81
Median peer was paid$35K
This provider vs. median36×
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 | 4,750 | $176K | |
| 2019 | 5,281 | $178K | |
| 2020 | 3,537 | $128K | |
| 2021 | 3,371 | $125K | |
| 2022 | 3,300 | $154K | |
| 2023 | 3,482 | $209K | |
| 2024incomplete | 4,636 | $295K |
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 | 70% | 19,214 | 3,579 | $882K |
| 99223 | Prolong inpt eval add15 m | 12% | 1,257 | 1,206 | $146K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 7.8% | 3,969 | 1,540 | $98K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.0% | 788 | 222 | $63K |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.7% | 1,178 | 1,137 | $60K |
| 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% | 1,071 | 941 | $13K |
| 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% | 866 | 777 | $4K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 14 | 12 | $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 officialBALLENGER, JOY (CREDENTIALING NETWORK MANAGER)