Agency
Pivotal Moments LLC
Pivotal Moments LLC was paid $3.95M by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 34% of everything it billed.
33Billing provider infoPIVOTAL MOMENTS LLC
SCOTT, LA 70583
SCOTT, LA 70583
33aNPI1174910004assigned 04/17/2015
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$3.95M
24GClaims57,749
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Louisiana
Rank by total paid#69 of 374
Median peer was paid$831K
This provider vs. median4.7×
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 | 13,623 | $1.49M | |
| 2019 | 7,567 | $624K | |
| 2020 | 6,935 | $491K | |
| 2021 | 11,119 | $732K | |
| 2022 | 11,930 | $456K | |
| 2023 | 5,223 | $120K | |
| 2024incomplete | 1,352 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 34% | 17,553 | 4,807 | $1.35M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 29% | 19,908 | 5,386 | $1.14M |
| H2011 | Crisis intervention service, per 15 minutes | 26% | 3,705 | 414 | $1.03M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 6.0% | 9,391 | 2,170 | $236K |
| S9485 | Crisis intervention mental health services, per diem | 2.0% | 376 | 243 | $77K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.0% | 770 | 645 | $40K |
| 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% | 332 | 296 | $18K |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | <1% | 189 | 56 | $17K |
| A0170 | Transportation ancillary: parking fees, tolls, other | <1% | 4,567 | 1,227 | $15K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 411 | 308 | $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% | 175 | 157 | $4K |
| 96150 | <1% | 345 | 298 | $3K |
1 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 27 | $1K |
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 officialJENKINS, SCHOLAR (CEO)