Behavioral
Babylon Healthcare, PLLC
Babylon Healthcare, PLLC was paid $1.13M by Medicaid between Jul 2020 and Jul 2023, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoBABYLON HEALTHCARE, PLLC
AUSTIN, TX 78746
AUSTIN, TX 78746
33aNPI1235764564assigned 03/06/2020
33bProvider typeCounselor
28Total paid$1.13M
24GClaims24,599
24DCodes billed22
24AFirst – last monthJul 2020 – Jul 2023
Compared with peers
Next to other Counselor providers in Texas
Rank by total paid#16 of 189
Median peer was paid$64K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2020 | 1,026 | $53K | |
| 2021 | 5,770 | $291K | |
| 2022 | 12,370 | $564K | |
| 2023 | 5,433 | $225K |
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 | 23% | 6,896 | 6,327 | $258K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 20% | 4,775 | 2,340 | $224K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 15% | 2,082 | 2,031 | $167K |
| 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 | 10% | 1,507 | 1,255 | $115K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.3% | 1,686 | 1,658 | $82K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 1,888 | 1,715 | $61K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 5.3% | 1,259 | 1,071 | $60K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.9% | 1,636 | 995 | $56K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.4% | 561 | 282 | $38K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.8% | 837 | 820 | $32K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.9% | 158 | 157 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 75 | 67 | $7K |
10 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 63 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 95 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 29 | $3K |
| 99201 | <1% | 14 | $280.00 | |
| 96127 | <1% | 96 | $222.40 | |
| 1036F | 0% | 39 | $0.00 | |
| 3008F | 0% | 307 | $0.00 | |
| 1125F | 0% | 252 | $0.00 | |
| 1126F | 0% | 33 | $0.00 | |
| 1160F | 0% | 311 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialCHEN, STEPHEN (LEGAL COUNSEL)
| Provider | Location | Paid |
|---|---|---|
| Prestige Pulmonary Consultants INC | Monterey Park, CA | $2.17M |
| Babylon Healthcare INC. | Austin, TX | $913K |
| Stephen P Chen MD INC | Monterey Park, CA | $267K |
| Babylon Healthcare, PLLC | Atlanta, GA | $109K |
| Babylon Healthcare INC. | Austin, TX | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.