Behavioral
Health Paradigm, LLC
Health Paradigm, LLC was paid $1.89M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoHEALTH PARADIGM, LLC
RUSTON, LA 71270
RUSTON, LA 71270
33aNPI1235340761assigned 05/25/2007
33bProvider typeCounselor
28Total paid$1.89M
24GClaims42,002
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Louisiana
Rank by total paid#6 of 50
Median peer was paid$58K
This provider vs. median33×
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 | 7,206 | $292K | |
| 2019 | 6,755 | $285K | |
| 2020 | 6,275 | $307K | |
| 2021 | 6,401 | $312K | |
| 2022 | 5,969 | $284K | |
| 2023 | 5,576 | $247K | |
| 2024incomplete | 3,820 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 72% | 33,080 | 28,077 | $1.35M |
| 99205 | Prolong outpt/office vis | 15% | 2,759 | 2,449 | $280K |
| 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 | 7.6% | 2,079 | 1,719 | $143K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.3% | 3,898 | 3,412 | $100K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 158 | 116 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 15 | 13 | $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 officialVANDENBERG, ELISA (ADMINISTRATOR)