Behavioral
Epiphany & Company Counseling Services
Epiphany & Company Counseling Services was paid $1.36M by Medicaid between Jul 2019 and Oct 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 99% of everything it billed.
33Billing provider infoEPIPHANY & COMPANY COUNSELING SERVICES
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1295206746assigned 12/10/2018
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$1.36M
24GClaims22,153
24DCodes billed3
24AFirst – last monthJul 2019 – Oct 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Indiana
Rank by total paid#10 of 28
Median peer was paid$313K
This provider vs. median4.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration99% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2019 | 389 | $11K | |
| 2020 | 4,701 | $344K | |
| 2021 | 7,247 | $360K | |
| 2022 | 5,298 | $278K | |
| 2023 | 3,972 | $318K | |
| 2024incomplete | 546 | $46K |
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 | 99% | 22,010 | 3,988 | $1.35M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 125 | 109 | $9K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 18 | 12 | $1K |
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, FRANCESCA (OWNER)