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.
HAMILTON, OH 45011
Next to other Adult Mental Health Clinic/Center providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 80,919 | $4.70M | |
| 2019 | 78,352 | $5.39M | |
| 2020 | 81,496 | $5.64M | |
| 2021 | 81,215 | $6.25M | |
| 2022 | 94,994 | $7.36M | |
| 2023 | 114,128 | $7.97M | |
| 2024incomplete | 88,045 | $6.83M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.