Agency
Community Council
Community Council was paid $7.79M by Medicaid between Jun 2020 and Dec 2024, across 20 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 61% of everything it billed.
33Billing provider infoCOMMUNITY COUNCIL
PHILADELPHIA, PA 19131
PHILADELPHIA, PA 19131
33aNPI1336355478assigned 05/15/2007
33bProvider typeCase Management Agency
28Total paid$7.79M
24GClaims113,624
24DCodes billed20
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Pennsylvania
Rank by total paid#57 of 206
Median peer was paid$2.13M
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2020 | 6,185 | $0.00 | |
| 2021 | 24,029 | $413.20 | |
| 2022 | 26,204 | $2.07M | |
| 2023 | 28,562 | $2.84M | |
| 2024incomplete | 28,644 | $2.88M |
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 | 61% | 66,346 | 23,916 | $4.72M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 13% | 3,743 | 3,239 | $1.04M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 5.9% | 7,502 | 3,166 | $460K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.6% | 1,987 | 1,207 | $355K |
| 96127 | 3.0% | 2,508 | 2,451 | $237K | |
| H0034 | Medication training and support, per 15 minutes | 2.7% | 4,510 | 3,860 | $209K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 3,309 | 3,118 | $164K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 2.1% | 1,076 | 121 | $164K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 7,978 | 7,308 | $149K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 1.7% | 1,495 | 1,123 | $134K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 4,633 | 3,380 | $84K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 880 | 757 | $44K |
8 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 112 | $19K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 61 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 30 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,152 | $95.84 |
| H2021 | Community-based wrap-around services, per 15 minutes | 0% | 1,792 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 2,756 | $0.00 |
| H2012 | Behavioral health day treatment, per hour | 0% | 207 | $0.00 |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 0% | 1,547 | $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 officialPAIGE, JAMES (CHIEF INFORMATION OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Community Council | Philadelphia, PA | $5.31M |
| Community Council for MH/MR | Philadelphia, PA | $623K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.