Behavioral
Omni Community Health
Omni Community Health was paid $18.18M by Medicaid between Jan 2018 and Oct 2020, across 29 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 49% of everything it billed.
33Billing provider infoOMNI COMMUNITY HEALTH
NASHVILLE, TN 37211
NASHVILLE, TN 37211
33aNPI1437125416assigned 02/28/2006
33bProvider typeMental Health Counselor
28Total paid$18.18M
24GClaims269,025
24DCodes billed29
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Mental Health Counselor providers in Tennessee
Rank by total paid#1 of 109
Median peer was paid$28K
This provider vs. median653×
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 | 97,175 | $6.57M | |
| 2019 | 101,215 | $6.48M | |
| 2020 | 70,635 | $5.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 49% | 61,657 | 47,843 | $8.99M |
| H0043 | Supported housing, per diem | 20% | 58,063 | 1,653 | $3.66M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 17% | 2,039 | 867 | $3.03M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.3% | 26,720 | 15,158 | $963K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 23,089 | 20,400 | $602K |
| T1041 | Medicaid certified community behavioral health clinic services, per month | 1.5% | 58 | 44 | $275K |
| H0037 | Community psychiatric supportive treatment program, per diem | 1.1% | 2,038 | 206 | $208K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 3,244 | 2,980 | $180K |
| 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% | 1,989 | 1,570 | $69K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,346 | 1,636 | $60K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 2,405 | 2,092 | $40K |
| 90836 | <1% | 1,308 | 1,157 | $34K |
17 more codes
| G9002 | Coordinated care fee, maintenance rate | <1% | 468 | $32K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 517 | $21K |
| 90837 | Psychotherapy session, about an hour | <1% | 214 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 812 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 263 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 540 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 40 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 782 | $692.08 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $261.80 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 41,113 | $176.75 |
| 90785 | <1% | 55 | $139.91 | |
| 3008F | <1% | 263 | $10.00 | |
| G9006 | Coordinated care fee, home monitoring | 0% | 397 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 19,025 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 662 | $0.00 |
| G9004 | Coordinated care fee, risk adjusted low, initial | 0% | 18,717 | $0.00 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | 0% | 188 | $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 officialJUST, MARK (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Omni Community Health | Cookeville, TN | $1.60M |
| Omni Community Health | Memphis, TN | $1.47M |
| Omni Community Health | Lawrenceburg, TN | $752K |
| Omni Community Health | Murfreesboro, TN | $496K |
| Omni Community Health | Lebanon, TN | $388K |
| Omni Community Health | Franklin, TN | $134K |
| Omni Community Health | Goodlettsville, TN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.