Agency
Community Services Group, INC.
Community Services Group, INC. was paid $48.91M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 19% of everything it billed.
33Billing provider infoCOMMUNITY SERVICES GROUP, INC.
MOUNTVILLE, PA 17554
MOUNTVILLE, PA 17554
33aNPI1265426084assigned 09/08/2005
33bProvider typeCase Management Agency
28Total paid$48.91M
24GClaims502,914
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Pennsylvania
Rank by total paid#3 of 206
Median peer was paid$2.13M
This provider vs. median23×
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 | 562 | $26K | |
| 2019 | 1,846 | $448K | |
| 2020 | 27,343 | $1.28M | |
| 2021 | 116,521 | $6.26M | |
| 2022 | 123,708 | $9.93M | |
| 2023 | 125,604 | $15.94M | |
| 2024incomplete | 107,330 | $15.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 19% | 48,329 | 9,006 | $9.22M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 18% | 132,803 | 58,865 | $8.76M |
| H2030 | Mental health clubhouse services, per 15 minutes | 17% | 60,959 | 8,120 | $8.08M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 9.4% | 26,480 | 3,123 | $4.62M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 8.5% | 37,474 | 4,463 | $4.14M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 6.8% | 42,971 | 13,472 | $3.34M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.9% | 23,540 | 12,628 | $1.91M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.5% | 6,092 | 5,742 | $1.24M |
| 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 | 2.5% | 14,513 | 13,923 | $1.24M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.2% | 26,701 | 24,740 | $1.10M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.2% | 10,052 | 2,392 | $1.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 14,655 | 13,908 | $1.04M |
18 more codes
| T1016 | Case management, each 15 minutes | 1.4% | 5,257 | $689K |
| H0034 | Medication training and support, per 15 minutes | 1.2% | 13,115 | $600K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 3,446 | $486K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 10,724 | $359K |
| H0046 | Mental health services, not otherwise specified | <1% | 3,550 | $250K |
| W9045 | <1% | 473 | $199K | |
| W9047 | <1% | 634 | $198K | |
| 96127 | <1% | 17,373 | $84K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,006 | $76K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 962 | $70K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 599 | $56K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 601 | $36K |
| W7060 | <1% | 178 | $24K | |
| W1726 | <1% | 76 | $7K | |
| W7095 | <1% | 63 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $960.99 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $810.00 |
| H2015 | Community support for mental illness or disability, per 15 minutes | 0% | 260 | $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 officialBLUE, SUSAN (PRESIDENT/CEO)