Behavioral
Edinboro Counseling and Psychological Services
Edinboro Counseling and Psychological Services was paid $2.94M by Medicaid between Oct 2020 and Dec 2024, across 9 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 34% of everything it billed.
33Billing provider infoEDINBORO COUNSELING AND PSYCHOLOGICAL SERVICES
EDINBORO, PA 16412
EDINBORO, PA 16412
33aNPI1194266254assigned 03/09/2017
33bProvider typePsychologist
28Total paid$2.94M
24GClaims19,558
24DCodes billed9
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Psychologist providers in Pennsylvania
Rank by total paid#17 of 170
Median peer was paid$102K
This provider vs. median29×
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 | 115 | $7K | |
| 2021 | 3,924 | $514K | |
| 2022 | 4,505 | $655K | |
| 2023 | 6,096 | $915K | |
| 2024incomplete | 4,918 | $845K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 34% | 5,590 | 485 | $999K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 30% | 4,838 | 1,395 | $870K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 16% | 4,593 | 1,043 | $483K |
| 97151 | 12% | 1,474 | 566 | $341K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4.6% | 2,128 | 1,139 | $136K |
| 97156 | 2.3% | 527 | 346 | $68K | |
| H0032 | Mental health service plan development by non-physician | <1% | 199 | 54 | $25K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 136 | 68 | $9K |
| H0031 | Mental health assessment, by non-physician | <1% | 73 | 61 | $5K |
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 officialMASONE, VICTOR (OWNER/PSYCHOLOGIST)