Behavioral
Wagner, Grace
Wagner, Grace was paid $206K by Medicaid between May 2021 and May 2023, across 1 billing code. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 100% of everything it billed.
33Billing provider infoWAGNER, GRACE
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
33aNPI1366847592assigned 10/30/2014
33bProvider typeCounselor
28Total paid$206K
24GClaims2,554
24DCodes billed1
24AFirst – last monthMay 2021 – May 2023
Compared with peers
Next to other Counselor providers in Pennsylvania
Rank by total paid#21 of 95
Median peer was paid$56K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2021 | 761 | $56K | |
| 2022 | 1,383 | $116K | |
| 2023 | 410 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 100% | 2,554 | 522 | $206K |
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.