Luzerne Intermediate Unit #18

Luzerne Intermediate Unit #18 was paid $5.68M by Medicaid between Dec 2019 and Nov 2024, across 18 billing codes. Its largest line is 97154, — 28% of everything it billed.

33Billing provider infoLUZERNE INTERMEDIATE UNIT #18
KINGSTON, PA 18704

33aNPI1164557716assigned 02/23/2007

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$5.68M

24GClaims97,471

24DCodes billed18

24AFirst – last monthDec 2019 – Nov 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#99 of 517

Median peer was paid$1.23M

This provider vs. median4.6×

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	20	$1K
2020	4,538	$179K
2021	18,641	$810K
2022	25,280	$1.56M
2023	24,407	$1.72M
2024incomplete	24,585	$1.41M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97154		28%	5,417	384	$1.61M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	27%	16,085	1,396	$1.54M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	16%	9,439	4,229	$913K
H2021	Community-based wrap-around services, per 15 minutes	11%	39,495	7,523	$647K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	6.0%	6,445	3,481	$343K
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	4.1%	16,498	7,099	$233K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	2.3%	1,212	1,033	$128K
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	2.1%	1,067	990	$117K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.4%	929	783	$80K
H0032	Mental health service plan development by non-physician	<1%	359	116	$34K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	315	203	$11K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	<1%	40	13	$8K

6 more codes

90847	Family psychotherapy with the patient present, 50 minutes	<1%	91	$6K
90792	Psychiatric diagnostic evaluation with medical services	<1%	13	$3K
99213	Doctor's office visit, returning patient (routine)	<1%	28	$2K
90791	Psychiatric diagnostic evaluation	<1%	12	$2K
97158		<1%	12	$2K
H0031	Mental health assessment, by non-physician	<1%	14	$443.20

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 officialRUNQUIST, JENNIFER (DIRECTOR OF BEHAVIORAL HEALTH)