Agency
Magellan Healthcare, INC.
Magellan Healthcare, INC. was paid $13K by Medicaid between Jan 2018 and May 2023, across 4 billing codes. Its largest line is T1016, Case management, each 15 minutes — 51% of everything it billed.
33Billing provider infoMAGELLAN HEALTHCARE, INC.
MARYLAND HEIGHTS, MO 63043
MARYLAND HEIGHTS, MO 63043
33aNPI1245814458assigned 05/12/2021
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$13K
24GClaims1,341
24DCodes billed4
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Community/Behavioral Health Agency providers in Missouri
Rank by total paid#73 of 82
Median peer was paid$3.75M
This provider vs. median0.0×
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 | 317 | $0.00 | |
| 2019 | 110 | $4K | |
| 2020 | 177 | $9K | |
| 2021 | 173 | $0.00 | |
| 2022 | 485 | $0.00 | |
| 2023 | 79 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 51% | 90 | 12 | $6K |
| H0038 | Self-help/peer services, per 15 minutes | 49% | 197 | 36 | $6K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 0% | 737 | 546 | $0.00 |
| T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem | 0% | 317 | 292 | $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 officialCOOLEY, TAMMY (SENIOR DIRECTOR, SERVICE OPERATIONS)