Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Modern Psychiatry and Wellness LLC

Modern Psychiatry and Wellness LLC was paid $44.14M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 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 — 47% of everything it billed.

33Billing provider infoMODERN PSYCHIATRY AND WELLNESS LLC
HAMILTON, OH 45011
33aNPI1225260888assigned 08/17/2009
28Total paid$44.14M
24GClaims619,149
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Adult Mental Health Clinic/Center providers in Ohio

Rank by total paid#3 of 42
Median peer was paid$652K
This provider vs. median68×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201880,919$4.70M
201978,352$5.39M
202081,496$5.64M
202181,215$6.25M
202294,994$7.36M
2023114,128$7.97M
2024incomplete88,045$6.83M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 47% 124,428 31,498 $20.86M
H0006 Alcohol and/or drug services; case management 22% 199,531 70,294 $9.52M
H0005 Alcohol and/or drug services; group counseling by a clinician 7.1% 79,652 26,008 $3.12M
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 4.8% 21,554 14,037 $2.12M
H0014 Alcohol and/or drug services; ambulatory detoxification 4.7% 8,782 4,362 $2.05M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 3.7% 19,121 9,107 $1.64M
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 1.6% 53,833 23,185 $712K
T1003 Lpn/lvn services, up to 15 minutes 1.4% 23,956 9,066 $637K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.3% 12,883 6,127 $552K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 4,524 3,970 $411K
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% 6,274 4,691 $393K
99350 Prolong home eval add 15m <1% 2,224 1,026 $393K
54 more codes
H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) <1% 1,064 $278K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 5,498 $255K
T1002 Rn services, up to 15 minutes <1% 6,376 $228K
99204 Doctor's office visit, new patient (more involved) <1% 687 $105K
99215 Doctor's office visit, returning patient (complex) <1% 800 $103K
82075 <1% 5,901 $100K
90834 Psychotherapy session, about 45 minutes <1% 1,313 $76K
99205 Prolong outpt/office vis <1% 359 $67K
90853 Group psychotherapy (other than of a multiple-family group) <1% 2,722 $38K
J2315 Injection, naltrexone, depot form, 1 mg <1% 30 $36K
80346 <1% 2,069 $35K
90832 Psychotherapy session, about 30 minutes <1% 692 $33K
80362 <1% 2,055 $29K
99203 Doctor's office visit, new patient (routine) <1% 247 $26K
80361 <1% 1,571 $21K
80359 <1% 2,494 $20K
80371 <1% 2,497 $19K
80354 <1% 2,447 $19K
80360 <1% 2,385 $19K
80324 <1% 2,367 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 471 $19K
80355 <1% 2,037 $16K
99345 Prolong home eval add 15m <1% 70 $16K
90847 Family psychotherapy with the patient present, 50 minutes <1% 201 $15K
80356 <1% 1,959 $15K
80373 <1% 1,885 $15K
80323 <1% 1,656 $12K
80358 <1% 1,483 $11K
80365 <1% 1,423 $10K
80366 <1% 1,207 $9K
H2017 Psychosocial rehabilitation, billed per 15 minutes <1% 423 $9K
99349 <1% 72 $9K
80348 <1% 952 $7K
80350 <1% 815 $6K
81025 <1% 959 $5K
80349 <1% 607 $5K
90785 <1% 413 $4K
80368 <1% 475 $4K
H0036 Community psychiatric support and treatment, per 15 minutes <1% 63 $3K
80353 <1% 354 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 120 $1K
90849 <1% 64 $1K
99406 <1% 289 $1K
H2019 Therapeutic behavioral services, billed per 15 minutes <1% 14 $1K
90658 <1% 120 $979.07
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 41 $706.60
99417 Prolong home eval add 15m <1% 34 $649.74
99407 <1% 109 $543.40
80369 <1% 49 $479.60
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs <1% 252 $234.00
80305 <1% 38 $189.11
36415 Collection of venous blood by venipuncture <1% 103 $187.04
80372 <1% 25 $169.76
90674 <1% 30 $5.85

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 officialMOSS, QUINTON (CEO)