Clinic
Southwest Behavioral Care, INC.
Southwest Behavioral Care, INC. was paid $28.83M by Medicaid between Apr 2018 and Dec 2024, across 18 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 35% of everything it billed.
33Billing provider infoSOUTHWEST BEHAVIORAL CARE, INC.
MONESSEN, PA 15062
MONESSEN, PA 15062
33aNPI1205980927assigned 01/22/2007
33bProvider typeAdolescent and Children Mental Health Clinic/Center
28Total paid$28.83M
24GClaims244,318
24DCodes billed18
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Adolescent and Children Mental Health Clinic/Center providers in Pennsylvania
Rank by total paid#2 of 40
Median peer was paid$1.48M
This provider vs. median19×
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 | 237 | $17K | |
| 2019 | 80 | $6K | |
| 2020 | 13,643 | $1.29M | |
| 2021 | 62,522 | $6.39M | |
| 2022 | 59,274 | $6.83M | |
| 2023 | 59,287 | $7.51M | |
| 2024incomplete | 49,275 | $6.80M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 35% | 93,628 | 53,081 | $10.22M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 22% | 37,166 | 16,632 | $6.33M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 10% | 20,687 | 13,514 | $2.95M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 9.3% | 11,802 | 2,056 | $2.68M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.7% | 34,711 | 22,601 | $1.92M |
| H0034 | Medication training and support, per 15 minutes | 4.6% | 12,327 | 11,311 | $1.33M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.2% | 7,993 | 7,724 | $916K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.1% | 9,492 | 3,859 | $613K |
| 99201 | 1.6% | 4,438 | 4,272 | $465K | |
| 99241 | 1.6% | 4,428 | 4,222 | $455K | |
| G9012 | Other specified case management service not elsewhere classified | 1.5% | 1,678 | 1,642 | $442K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,131 | 1,733 | $155K |
6 more codes
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,493 | $125K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,560 | $117K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 415 | $75K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 137 | $12K |
| H0001 | Alcohol and/or drug assessment | <1% | 117 | $12K |
| H0046 | Mental health services, not otherwise specified | <1% | 115 | $9K |
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 officialGARRETT, CHRIS (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Southwest Behavioral Care, INC. | Greensburg, PA | $4.32M |
| Southwest Behavioral Care, INC. | Monessen, PA | $2.37M |
| Southwest Behavioral Care, INC. | Uniontown, PA | $1.82M |
| Southwest Behavioral Care, INC. | Latrobe, PA | $1.10M |
| Southwest Behavioral Care, INC. | New Kensington, PA | $36K |
| Rathdrum Physical Therapy, INC. | Rathdrum, ID | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.