Clinic
Philhaven
Philhaven was paid $10.87M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 30% of everything it billed.
33Billing provider infoPHILHAVEN
LEBANON, PA 17042
LEBANON, PA 17042
33aNPI1275758393assigned 04/16/2007
28Total paid$10.87M
24GClaims286,222
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Pennsylvania
Rank by total paid#11 of 121
Median peer was paid$1.18M
This provider vs. median9.2×
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 | 48 | $1K | |
| 2019 | 274 | $11K | |
| 2020 | 15,669 | $208K | |
| 2021 | 64,550 | $270K | |
| 2022 | 73,985 | $1.51M | |
| 2023 | 70,294 | $4.53M | |
| 2024incomplete | 61,402 | $4.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 30% | 75,297 | 51,062 | $3.22M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 23% | 42,849 | 28,182 | $2.53M |
| 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 | 18% | 23,001 | 22,186 | $1.93M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 5.1% | 16,875 | 7,395 | $553K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.6% | 3,730 | 3,682 | $496K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.0% | 18,882 | 14,828 | $432K |
| 96127 | 3.2% | 49,344 | 30,315 | $350K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.1% | 36,278 | 34,383 | $340K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 5,070 | 4,951 | $310K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 1.7% | 4,896 | 4,282 | $190K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 1,900 | 1,826 | $165K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.3% | 2,060 | 407 | $143K |
7 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,470 | $56K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,588 | $56K |
| H0034 | Medication training and support, per 15 minutes | <1% | 2,039 | $54K |
| 96131 | <1% | 357 | $30K | |
| 96130 | <1% | 512 | $17K | |
| T1016 | Case management, each 15 minutes | <1% | 14 | $106.65 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 60 | $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 officialKOTSALOS, MANTHA (VP & PRESIDENT PHILHAVEN)
| Provider | Location | Paid |
|---|---|---|
| Philhaven | Lebanon, PA | $19.79M |
| Philhaven | Lebanon, PA | $7.04M |
| Philhaven | Lebanon, PA | $5.92M |
| Philhaven | Lebanon, PA | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.