Physician
Northern Tier Counseling, INC.
Northern Tier Counseling, INC. was paid $14.19M by Medicaid between Aug 2020 and Dec 2024, across 17 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 39% of everything it billed.
33Billing provider infoNORTHERN TIER COUNSELING, INC.
TOWANDA, PA 18848
TOWANDA, PA 18848
33aNPI1346267374assigned 07/16/2006
33bProvider typePsychiatry Physician
28Total paid$14.19M
24GClaims134,241
24DCodes billed17
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Pennsylvania
Rank by total paid#2 of 244
Median peer was paid$30K
This provider vs. median476×
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 | 8,004 | $786K | |
| 2021 | 27,568 | $2.52M | |
| 2022 | 29,355 | $2.99M | |
| 2023 | 35,856 | $3.95M | |
| 2024incomplete | 33,458 | $3.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 39% | 16,979 | 2,413 | $5.51M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 20% | 26,848 | 13,827 | $2.88M |
| H0038 | Self-help/peer services, per 15 minutes | 15% | 10,128 | 2,436 | $2.16M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.7% | 5,290 | 4,803 | $810K |
| H0034 | Medication training and support, per 15 minutes | 5.0% | 10,554 | 7,205 | $710K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 3.4% | 14,109 | 4,076 | $489K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.8% | 5,763 | 5,395 | $404K |
| 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 | 2.1% | 2,010 | 316 | $294K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.8% | 6,995 | 5,893 | $256K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.5% | 952 | 945 | $211K |
| T1016 | Case management, each 15 minutes | 1.4% | 1,112 | 721 | $199K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,193 | 773 | $111K |
5 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 815 | $81K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 316 | $30K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 30,938 | $29K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 196 | $9K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 43 | $4K |
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 officialDENAULT, PAUL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Northern Tier Counseling, INC | Towanda, PA | $1.99M |
| Northern Tier Counseling, INC | Towanda, PA | $781K |
| Northern Tier Counseling, INC | Towanda, PA | $39K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.