Behavioral
CHMC Community Health Services Network
CHMC Community Health Services Network was paid $3.74M by Medicaid between Apr 2021 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoCHMC COMMUNITY HEALTH SERVICES NETWORK
CINCINNATI, OH 45229
CINCINNATI, OH 45229
33aNPI1245821271assigned 02/02/2021
33bProvider typeCounselor
28Total paid$3.74M
24GClaims118,184
24DCodes billed50
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Counselor providers in Ohio
Rank by total paid#8 of 154
Median peer was paid$23K
This provider vs. median161×
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 | |
|---|---|---|---|
| 2021 | 9,429 | $351K | |
| 2022 | 25,910 | $878K | |
| 2023 | 37,540 | $1.23M | |
| 2024incomplete | 45,305 | $1.28M |
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 | 50% | 40,896 | 35,989 | $1.86M |
| 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 | 15% | 8,114 | 7,229 | $556K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 20,851 | 10,969 | $415K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.8% | 5,351 | 4,854 | $143K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 1,873 | 1,738 | $121K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.9% | 2,362 | 2,167 | $109K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 1,985 | 1,792 | $107K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.9% | 1,733 | 1,226 | $70K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 4,322 | 3,287 | $68K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 925 | 876 | $64K |
| 90461 | 1.5% | 2,074 | 1,348 | $57K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,867 | 1,639 | $37K |
38 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,053 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 238 | $20K |
| 96127 | <1% | 4,981 | $19K | |
| 99177 | <1% | 4,157 | $19K | |
| 92551 | <1% | 1,952 | $16K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 154 | $15K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 577 | $10K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 96 | $5K |
| 90480 | <1% | 35 | $1K | |
| 99383 | <1% | 14 | $1K | |
| 92558 | <1% | 61 | $916.92 | |
| 90677 | <1% | 531 | $904.22 | |
| 99384 | <1% | 12 | $843.52 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 47 | $840.48 |
| 36415 | Collection of venous blood by venipuncture | <1% | 123 | $754.70 |
| 99000 | <1% | 429 | $685.33 | |
| 36416 | <1% | 293 | $626.35 | |
| 90686 | <1% | 651 | $498.64 | |
| 90674 | <1% | 872 | $494.62 | |
| 99382 | <1% | 12 | $481.68 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $291.18 |
| 90651 | <1% | 12 | $288.00 | |
| 85018 | <1% | 138 | $274.52 | |
| 90698 | <1% | 716 | $244.92 | |
| 96161 | <1% | 122 | $241.50 | |
| 90661 | <1% | 665 | $235.02 | |
| 99188 | <1% | 13 | $173.00 | |
| 99051 | <1% | 46 | $170.40 | |
| 90670 | <1% | 321 | $152.37 | |
| 86580 | <1% | 25 | $146.77 | |
| 81003 | <1% | 74 | $126.26 | |
| 90633 | <1% | 124 | $31.03 | |
| 96160 | <1% | 13 | $23.57 | |
| 3074F | 0% | 3,059 | $0.00 | |
| 90744 | 0% | 28 | $0.00 | |
| 90680 | 0% | 125 | $0.00 | |
| 3078F | 0% | 2,980 | $0.00 | |
| 90648 | 0% | 69 | $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 officialGIVENS, KIMBERLY (DIRECTOR MEDICAL STAFF SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Children's Hospital Medical Center | Cincinnati, OH | $91.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.