Clinic
The Behavioral Wellness Center at Girard
The Behavioral Wellness Center at Girard was paid $16.38M by Medicaid between Feb 2018 and Nov 2024, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoTHE BEHAVIORAL WELLNESS CENTER AT GIRARD
PHILADELPHIA, PA 19122
PHILADELPHIA, PA 19122
33aNPI1336350966assigned 05/25/2007
33bProvider typeMethadone Clinic
28Total paid$16.38M
24GClaims748,516
24DCodes billed8
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Methadone Clinic providers in Pennsylvania
Rank by total paid#1 of 26
Median peer was paid$5.04M
This provider vs. median3.2×
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 | 615 | $29K | |
| 2020 | 20,282 | $0.00 | |
| 2021 | 159,854 | $0.00 | |
| 2022 | 196,654 | $5.15M | |
| 2023 | 196,678 | $5.92M | |
| 2024incomplete | 174,433 | $5.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 18,349 | 18,311 | $15.60M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 3.1% | 657,645 | 27,152 | $501K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 47,092 | 21,930 | $220K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 22,077 | 9,466 | $53K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,214 | 1,176 | $13K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 153 | 152 | $0.00 |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 0% | 1,898 | 392 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 88 | 85 | $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 officialBANCROFT, XAVIER (PRESIDENT & CEO)
Parent organizationTHE BEHAVIORAL WELLNESS CENTER AT GIRARD
| Provider | Location | Paid |
|---|---|---|
| The Behavioral Wellness Center at Girard | Philadelphia, PA | $30.64M |
| The Behavioral Wellness Center at Girard | Philadelphia, PA | $14.91M |
| The Behavioral Wellness Center at Girard | Phila, PA | $8.81M |
| The Behavioral Wellness Center at Girard | Philadelphia, PA | $4.87M |
| The Behavioral Wellness Center at Girard | Philadelphia, PA | $3.97M |
| The Behavioral Wellness Center at Girard | Phila, PA | $700K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.