Agency
Omni Community Health
Omni Community Health was paid $1.47M by Medicaid between Jan 2018 and Sep 2020, across 12 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 74% of everything it billed.
33Billing provider infoOMNI COMMUNITY HEALTH
MEMPHIS, TN 38104
MEMPHIS, TN 38104
33aNPI1316320880assigned 07/02/2015
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.47M
24GClaims9,051
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Community/Behavioral Health Agency providers in Tennessee
Rank by total paid#14 of 47
Median peer was paid$129K
This provider vs. median11×
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 | 3,633 | $651K | |
| 2019 | 2,792 | $490K | |
| 2020 | 2,626 | $329K |
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 | 74% | 296 | 255 | $1.09M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 22% | 2,397 | 1,810 | $316K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 1,479 | 1,303 | $40K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 313 | 189 | $8K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 182 | 168 | $8K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 578 | 506 | $8K |
| 90836 | <1% | 89 | 87 | $3K | |
| 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 | <1% | 37 | 35 | $865.83 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | 0% | 926 | 641 | $0.00 |
| G9004 | Coordinated care fee, risk adjusted low, initial | 0% | 1,271 | 896 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 1,331 | 904 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 152 | 82 | $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 officialJUST, MARK (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Omni Community Health | Nashville, TN | $18.18M |
| Omni Community Health | Cookeville, TN | $1.60M |
| Omni Community Health | Lawrenceburg, TN | $752K |
| Omni Community Health | Murfreesboro, TN | $496K |
| Omni Community Health | Lebanon, TN | $388K |
| Omni Community Health | Franklin, TN | $134K |
| Omni Community Health | Goodlettsville, TN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.