Agency
Philhaven
Philhaven was paid $7.04M by Medicaid between Feb 2020 and Dec 2024, across 2 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 76% of everything it billed.
33Billing provider infoPHILHAVEN
LEBANON, PA 17042
LEBANON, PA 17042
33aNPI1174629463assigned 09/15/2006
33bProvider typePublic Health or Welfare Agency
28Total paid$7.04M
24GClaims62,671
24DCodes billed2
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Pennsylvania
Rank by total paid#12 of 52
Median peer was paid$1.61M
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2020 | 4,423 | $168K | |
| 2021 | 14,624 | $574K | |
| 2022 | 13,680 | $947K | |
| 2023 | 14,825 | $2.59M | |
| 2024incomplete | 15,119 | $2.77M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 76% | 49,976 | 5,868 | $5.33M |
| H0038 | Self-help/peer services, per 15 minutes | 24% | 12,695 | 3,405 | $1.72M |
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 officialKOTSALOS, MANTHA (VP & PRESIDENT PHILHAVEN)
| Provider | Location | Paid |
|---|---|---|
| Philhaven | Lebanon, PA | $19.79M |
| Philhaven | Lebanon, PA | $10.87M |
| Philhaven | Lebanon, PA | $5.92M |
| Philhaven | Lebanon, PA | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.