Agency
Mbi Health Services LLC
Mbi Health Services LLC was paid $270.13M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 51% of everything it billed.
33Billing provider infoMBI HEALTH SERVICES LLC
WASHINGTON, DC 20019
WASHINGTON, DC 20019
33aNPI1396048070assigned 12/17/2010
33bProvider typeCase Management Agency
28Total paid$270.13M
24GClaims2,758,693
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in District of Columbia
Rank by total paid#1 of 45
Median peer was paid$2.23M
This provider vs. median121×
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 | 440,598 | $31.82M | |
| 2019 | 483,705 | $33.30M | |
| 2020 | 311,415 | $31.63M | |
| 2021 | 237,348 | $24.86M | |
| 2022 | 465,568 | $55.10M | |
| 2023 | 458,217 | $52.43M | |
| 2024incomplete | 361,842 | $40.98M |
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 | 51% | 1,603,480 | 222,894 | $137.90M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 25% | 493,350 | 17,490 | $67.84M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 13% | 291,295 | 30,363 | $34.37M |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 3.7% | 121,769 | 11,073 | $10.10M |
| H0034 | Medication training and support, per 15 minutes | 2.2% | 89,017 | 53,968 | $5.93M |
| H0040 | Assertive community treatment program, per diem | 1.3% | 3,464 | 2,570 | $3.43M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 27,446 | 9,078 | $1.86M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 17,324 | 13,955 | $1.71M |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 12,982 | 8,953 | $1.37M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 8,925 | 8,599 | $1.07M |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 13,410 | 10,144 | $846K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 4,876 | 4,721 | $591K |
45 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 6,139 | $541K |
| T1017 | Case management, billed per 15 minutes | <1% | 3,908 | $508K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 6,681 | $353K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,987 | $337K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,939 | $291K |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | <1% | 1,871 | $252K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,118 | $172K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 934 | $131K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 10,021 | $84K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 819 | $73K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,415 | $55K |
| 90836 | <1% | 803 | $54K | |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 3,117 | $41K |
| 99509 | Home visit for assistance with activities of daily living and personal care | <1% | 271 | $38K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,314 | $28K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 295 | $22K |
| 99205 | Prolong outpt/office vis | <1% | 178 | $22K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,426 | $14K |
| 99408 | <1% | 275 | $14K | |
| 96127 | <1% | 960 | $12K | |
| 86328 | <1% | 286 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 639 | $10K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12,551 | $10K |
| 90838 | <1% | 995 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 564 | $4K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | <1% | 138 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 96 | $4K |
| 99409 | <1% | 29 | $3K | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 257 | $3K |
| 87400 | <1% | 836 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 230 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 919 | $613.58 |
| 87430 | <1% | 61 | $255.55 | |
| 81002 | <1% | 52 | $144.56 | |
| 81025 | <1% | 15 | $103.35 | |
| 87081 | <1% | 97 | $100.70 | |
| 87807 | <1% | 32 | $52.40 | |
| H0001 | Alcohol and/or drug assessment | 0% | 14 | $0.00 |
| 99999 | 0% | 20 | $0.00 | |
| H0032 | Mental health service plan development by non-physician | 0% | 374 | $0.00 |
| H0044 | Supported housing, per month | 0% | 173 | $0.00 |
| 99310 | Prolong nursin fac eval 15m | 0% | 164 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 155 | $0.00 |
| DMH20 | 0% | 35 | $0.00 | |
| H2027 | Psychoeducational service, per 15 minutes | 0% | 152 | $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 officialKAMYA, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mbi Health Services INC | West Hollywood, CA | $163K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.