1235517491

1235517491 was paid $1.82M by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 87% of everything it billed.

33Billing provider info1235517491

33aNPI1235517491

33bProvider type—

28Total paid$1.82M

24GClaims25,529

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

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	5,833	$532K
2019	4,193	$275K
2020	4,309	$287K
2021	4,202	$274K
2022	3,624	$214K
2023	2,590	$186K
2024incomplete	778	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	87%	23,688	7,286	$1.58M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	7.0%	372	338	$128K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	4.2%	75	70	$76K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	1.8%	1,265	514	$32K
H0032	Mental health service plan development by non-physician	<1%	65	65	$4K
H0031	Mental health assessment, by non-physician	<1%	26	26	$3K
G9001	Coordinated care fee, initial rate	<1%	13	13	$701.74
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	25	25	$630.00

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.