Protective Factors, LLC

Protective Factors, LLC was paid $749K by Medicaid between Jan 2018 and Jul 2020, across 3 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 55% of everything it billed.

33Billing provider infoPROTECTIVE FACTORS, LLC
MONROE, LA 71201

33aNPI1366801730assigned 02/15/2016

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$749K

24GClaims11,735

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Community/Behavioral Health Agency providers in Louisiana

Rank by total paid#200 of 374

Median peer was paid$831K

This provider vs. median0.9×

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	8,672	$564K
2019	2,325	$143K
2020	738	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	55%	5,007	1,316	$409K
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	44%	6,528	1,310	$332K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.0%	200	165	$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 officialPLEASANT-WALLACE, VICTORIA (OWNER)