Paradigm Behavioral Health INC

Paradigm Behavioral Health INC was paid $53K by Medicaid between Oct 2023 and Dec 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoPARADIGM BEHAVIORAL HEALTH INC
BAY CITY, MI 48708

33aNPI1316674526assigned 08/07/2022

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$53K

24GClaims797

24DCodes billed3

24AFirst – last monthOct 2023 – Dec 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Michigan

Rank by total paid#210 of 263

Median peer was paid$541K

This provider vs. median0.1×

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
2023	12	$963.11
2024incomplete	785	$52K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	45%	326	260	$24K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	39%	318	141	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	153	141	$8K

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 officialBARNHILL, DREW (MANAGER)