Agency
ST. Joseph Orphanage
ST. Joseph Orphanage was paid $20.05M by Medicaid between Jan 2018 and Feb 2021, across 23 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 35% of everything it billed.
33Billing provider infoST. JOSEPH ORPHANAGE
CINCINNATI, OH 45237
CINCINNATI, OH 45237
33aNPI1194882092assigned 01/02/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$20.05M
24GClaims252,493
24DCodes billed23
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Community/Behavioral Health Agency providers in Ohio
Rank by total paid#23 of 417
Median peer was paid$469K
This provider vs. median43×
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 | 111,267 | $8.09M | |
| 2019 | 73,260 | $6.53M | |
| 2020 | 67,837 | $5.42M | |
| 2021 | 129 | $13K |
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 | 35% | 81,199 | 32,042 | $7.02M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 17% | 37,690 | 18,394 | $3.39M |
| H2020 | Therapeutic behavioral services, per diem | 16% | 31,336 | 5,472 | $3.22M |
| 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 | 9.8% | 19,106 | 15,969 | $1.97M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.2% | 13,432 | 8,558 | $842K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 3.6% | 21,051 | 11,661 | $730K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 5,054 | 4,544 | $647K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.1% | 13,127 | 7,599 | $630K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.4% | 6,179 | 3,982 | $479K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 4,031 | 3,668 | $397K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 4,111 | 3,817 | $285K |
| H2012 | Behavioral health day treatment, per hour | <1% | 4,928 | 1,386 | $127K |
11 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 624 | $91K |
| 90785 | <1% | 8,324 | $79K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 522 | $57K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 694 | $48K |
| 99354 | <1% | 267 | $17K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 214 | $10K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 503 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 49 | $570.09 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 21 | $150.30 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 18 | $0.00 |
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 officialCUMMINS, ERIC (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sjo Kids INC | Cincinnati, OH | $15.54M |
| Sjo Kids INC | Cincinnati, OH | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.