Clinic
Wilkes Barre Behavioral Hospital Company LLC
Wilkes Barre Behavioral Hospital Company LLC was paid $7.20M by Medicaid between Oct 2019 and Oct 2022, across 12 billing codes. Its largest line is H2021, Community-based wrap-around services, per 15 minutes — 37% of everything it billed.
33Billing provider infoWILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
SHAVERTOWN, PA 18708
SHAVERTOWN, PA 18708
33aNPI1235365131assigned 06/05/2009
28Total paid$7.20M
24GClaims77,797
24DCodes billed12
24AFirst – last monthOct 2019 – Oct 2022
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Pennsylvania
Rank by total paid#22 of 121
Median peer was paid$1.18M
This provider vs. median6.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 12 | $164.40 | |
| 2020 | 12,009 | $952K | |
| 2021 | 39,621 | $3.65M | |
| 2022 | 26,155 | $2.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 37% | 19,251 | 1,685 | $2.65M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 21% | 25,691 | 22,872 | $1.51M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 13% | 12,084 | 5,890 | $922K |
| H0032 | Mental health service plan development by non-physician | 11% | 6,806 | 2,269 | $772K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 10.0% | 3,714 | 3,674 | $719K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 3.0% | 1,600 | 548 | $213K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.9% | 5,508 | 3,787 | $210K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.5% | 1,229 | 1,228 | $105K |
| 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% | 466 | 441 | $46K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 956 | 729 | $31K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 307 | 112 | $15K |
| H0034 | Medication training and support, per 15 minutes | <1% | 185 | 179 | $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 officialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
Parent organizationWILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
| Provider | Location | Paid |
|---|---|---|
| Roswell Hospital Corporation | Roswell, NM | $41.27M |
| Wesley Health System LLC | Hattiesburg, MS | $37.82M |
| Metro Knoxville Hma LLC | Powell, TN | $28.70M |
| Bullhead City Hospital Corporation | Bullhead City, AZ | $28.54M |
| Iom Health System LP | Fort Wayne, IN | $27.50M |
| ST. Joseph Health System, LLC | Fort Wayne, IN | $25.43M |
| Laredo Texas Hospital Company LP | Laredo, TX | $19.46M |
| Oak Hill Hospital Corporation | Oak Hill, WV | $18.77M |
| Cocke County Hma, LLC | Newport, TN | $18.34M |
| Cleveland Tennessee Hospital Company LLC | Cleveland, TN | $16.31M |
| Jefferson County Hma LLC | Jefferson City, TN | $14.31M |
| Northwest Arkansas Hospitals, LLC | Springdale, AR | $11.46M |
| Petersburg Hospital Company LLC | Petersburg, VA | $11.20M |
| Campbell County Hma, LLC | Lafollette, TN | $10.07M |
| Warsaw Health System LLC | Warsaw, IN | $9.95M |
| Longview Medical Center LP | Longview, TX | $9.29M |
| Moberly Hospital Company LLC | Moberly, MO | $8.61M |
| Crestview Hospital Company, LLC | Crestview, FL | $8.15M |
| Kirksville Missouri Hospital Company, LLC | Kirksville, MO | $7.98M |
| Victoria of Texas LP | Victoria, TX | $7.74M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.