Behavioral
L Esprit PC
L Esprit PC was paid $4.86M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is H2020, Therapeutic behavioral services, per diem — 67% of everything it billed.
33Billing provider infoL ESPRIT PC
LIVINGSTON, MT 59047
LIVINGSTON, MT 59047
33aNPI1194107003assigned 06/27/2015
33bProvider typeClinical Social Worker
28Total paid$4.86M
24GClaims43,346
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Montana
Rank by total paid#4 of 347
Median peer was paid$54K
This provider vs. median90×
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 | 8,069 | $335K | |
| 2019 | 4,753 | $234K | |
| 2020 | 3,328 | $143K | |
| 2021 | 2,752 | $154K | |
| 2022 | 7,401 | $791K | |
| 2023 | 9,316 | $1.53M | |
| 2024incomplete | 7,727 | $1.67M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2020 | Therapeutic behavioral services, per diem | 67% | 18,576 | 1,704 | $3.23M |
| T1016 | Case management, each 15 minutes | 14% | 15,004 | 2,342 | $670K |
| H0037 | Community psychiatric supportive treatment program, per diem | 11% | 2,131 | 493 | $530K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.6% | 3,589 | 1,174 | $274K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.2% | 3,112 | 430 | $109K |
| H2012 | Behavioral health day treatment, per hour | <1% | 717 | 51 | $27K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 121 | 106 | $12K |
| 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% | 12 | 12 | $2K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 19 | 14 | $1K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 36 | 12 | $1K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 29 | 12 | $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 officialPLAUCHE, CHANTELLE (ADMINISTRATOR)