Mid Erie Mental Health Services INC

Mid Erie Mental Health Services INC was paid $59.69M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 82% of everything it billed.

33Billing provider infoMID ERIE MENTAL HEALTH SERVICES INC
CHEEKTOWAGA, NY 14225

33aNPI1225095201assigned 04/26/2006

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$59.69M

24GClaims467,196

24DCodes billed20

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in New York

Rank by total paid#1 of 99

Median peer was paid$168K

This provider vs. median356×

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	52,109	$6.17M
2019	61,027	$7.37M
2020	81,679	$10.00M
2021	82,515	$10.22M
2022	78,692	$10.27M
2023	72,655	$9.84M
2024incomplete	38,519	$5.82M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1040	Medicaid certified community behavioral health clinic services, per diem	82%	390,140	103,624	$49.21M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	4.8%	21,144	16,460	$2.88M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	3.7%	3,795	3,790	$2.19M
90853	Group psychotherapy (other than of a multiple-family group)	2.9%	31,156	10,587	$1.75M
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	1.7%	3,359	3,357	$987K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.3%	4,957	3,724	$784K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.3%	6,631	5,666	$779K
H2018	Psychosocial rehabilitation services, per diem	<1%	859	859	$386K
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%	2,232	1,991	$250K
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%	1,318	1,223	$175K
T2020	Day habilitation, waiver; per diem	<1%	465	464	$126K
H2010	Comprehensive medication services, per 15 minutes	<1%	470	417	$104K

8 more codes

90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	190	$32K
H2011	Crisis intervention service, per 15 minutes	<1%	105	$18K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	46	$8K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	28	$5K
90792	Psychiatric diagnostic evaluation with medical services	<1%	17	$4K
99051		<1%	256	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$3K
90836		<1%	16	$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 officialMCINERNEY, PATRICK (CFO)