Peter James Behavioral Health, INC.

Peter James Behavioral Health, INC. was paid $2.06M by Medicaid between Apr 2022 and Dec 2024, across 5 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 94% of everything it billed.

33Billing provider infoPETER JAMES BEHAVIORAL HEALTH, INC.
BEDFORD, OH 44146

33aNPI1184255549assigned 02/03/2020

33bProvider typeCase Management Agency

28Total paid$2.06M

24GClaims18,861

24DCodes billed5

24AFirst – last monthApr 2022 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Ohio

Rank by total paid#33 of 90

Median peer was paid$1.18M

This provider vs. median1.7×

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
2022	1,846	$162K
2023	5,515	$566K
2024incomplete	11,500	$1.33M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	94%	16,978	3,580	$1.94M
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	4.0%	1,282	620	$82K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.3%	254	245	$28K
H2012	Behavioral health day treatment, per hour	<1%	318	26	$3K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	29	13	$3K

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 officialPRUITT, PETER (OWNER)