Clinic
Wesley Family Services
Wesley Family Services was paid $123.40M by Medicaid between Nov 2018 and Dec 2024, across 43 billing codes. Its largest line is W9045, — 18% of everything it billed.
33Billing provider infoWESLEY FAMILY SERVICES
WILKINSBURG, PA 15221
WILKINSBURG, PA 15221
33aNPI1316450638assigned 11/08/2017
33bProvider typeAdolescent and Children Mental Health Clinic/Center
28Total paid$123.40M
24GClaims652,317
24DCodes billed43
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Adolescent and Children Mental Health Clinic/Center providers in Pennsylvania
Rank by total paid#1 of 40
Median peer was paid$1.48M
This provider vs. median83×
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 | 43 | $2K | |
| 2019 | 25,232 | $5.02M | |
| 2020 | 67,560 | $12.24M | |
| 2021 | 137,281 | $21.82M | |
| 2022 | 145,561 | $25.07M | |
| 2023 | 147,468 | $29.15M | |
| 2024incomplete | 129,172 | $30.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| W9045 | 18% | 44,511 | 1,556 | $22.29M | |
| W9047 | 17% | 57,671 | 2,017 | $20.47M | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 13% | 51,199 | 6,485 | $16.48M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 7.4% | 46,586 | 6,101 | $9.19M |
| W7226 | 5.8% | 67,604 | 4,777 | $7.18M | |
| H0046 | Mental health services, not otherwise specified | 5.1% | 27,876 | 4,158 | $6.30M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 4.7% | 41,970 | 3,583 | $5.77M |
| W9029 | 4.0% | 7,249 | 249 | $4.88M | |
| H2021 | Community-based wrap-around services, per 15 minutes | 3.6% | 62,745 | 15,358 | $4.45M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.1% | 40,390 | 20,066 | $3.81M |
| W7224 | 2.5% | 20,445 | 1,467 | $3.06M | |
| H0032 | Mental health service plan development by non-physician | 2.3% | 26,520 | 7,159 | $2.90M |
31 more codes
| T1017 | Case management, billed per 15 minutes | 2.3% | 22,389 | $2.79M |
| H0036 | Community psychiatric support and treatment, per 15 minutes | 2.3% | 12,883 | $2.79M |
| 90837 | Psychotherapy session, about an hour | 1.4% | 13,737 | $1.69M |
| H2011 | Crisis intervention service, per 15 minutes | 1.1% | 4,796 | $1.39M |
| H0034 | Medication training and support, per 15 minutes | 1.1% | 6,805 | $1.34M |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 16,901 | $1.06M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 22,119 | $925K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 14,483 | $681K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 6,793 | $603K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,659 | $496K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 4,349 | $403K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutes | <1% | 3,979 | $327K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,251 | $303K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,749 | $262K |
| 97156 | <1% | 2,359 | $256K | |
| W7095 | <1% | 2,149 | $212K | |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 3,596 | $208K |
| W9351 | <1% | 1,582 | $164K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,411 | $129K |
| T1016 | Case management, each 15 minutes | <1% | 1,798 | $126K |
| 97151 | <1% | 1,349 | $114K | |
| 99241 | <1% | 1,369 | $99K | |
| 99201 | <1% | 1,081 | $94K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 178 | $40K |
| 96131 | <1% | 270 | $39K | |
| W5996 | <1% | 486 | $28K | |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 403 | $18K |
| 96130 | <1% | 262 | $15K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 287 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | $5K |
| H0006 | Alcohol and/or drug services; case management | <1% | 24 | $576.00 |
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 officialPIETRZAK, EMILY (VP OF FINANCE)