Behavioral
Reasonable Choices INC
Reasonable Choices INC was paid $829K by Medicaid between Apr 2018 and Jun 2020, across 17 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 25% of everything it billed.
33Billing provider infoREASONABLE CHOICES INC
SPRINGFIELD, OH 45502
SPRINGFIELD, OH 45502
33aNPI1265764682assigned 02/10/2010
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$829K
24GClaims18,921
24DCodes billed17
24AFirst – last monthApr 2018 – Jun 2020
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Ohio
Rank by total paid#75 of 540
Median peer was paid$25K
This provider vs. median34×
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 | 1,283 | $26K | |
| 2019 | 11,245 | $545K | |
| 2020 | 6,393 | $258K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 25% | 2,445 | 1,604 | $207K |
| 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 | 21% | 1,700 | 1,311 | $178K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 12% | 1,758 | 1,301 | $97K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 1,566 | 1,125 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 1,052 | 841 | $69K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 7.0% | 4,318 | 2,453 | $58K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.7% | 1,281 | 919 | $55K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 116 | 114 | $16K |
| 80306 | 1.9% | 1,951 | 1,335 | $15K | |
| 80305 | 1.8% | 1,787 | 1,291 | $15K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 64 | 63 | $7K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 216 | 184 | $6K |
5 more codes
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 officialGRIFFITH, CARMEN (PROGRAM ADMINISTRATOR)