Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PHILHAVEN

NPI: 1508081639 · LEBANON, PA 17042 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 04/16/2007

$19.79M
Total Medicaid Paid
149,303
Total Claims
27,240
Beneficiaries
15
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOTSALOS, MANTHA (VP & PRESIDENT PHILHAVEN)
NPI Enumeration Date04/16/2007

Related Entities

Other providers sharing the same authorized official: KOTSALOS, MANTHA

ProviderCityStateTotal Paid
PHILHAVEN LEBANON PA $10.87M
PHILHAVEN LEBANON PA $7.04M
PHILHAVEN LEBANON PA $5.92M
PHILHAVEN LEBANON PA $78K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,438 $33K
2021 40,613 $1.05M
2022 38,397 $5.24M
2023 37,404 $7.26M
2024 30,451 $6.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 37,457 4,281 $6.29M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 25,809 6,840 $3.63M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 30,380 2,694 $3.35M
H2021 Community-based wrap-around services, per 15 minutes 31,601 4,314 $3.30M
97154 5,127 831 $1.30M
97151 3,783 1,082 $669K
H2019 Therapeutic behavioral services, per 15 minutes 8,223 2,419 $521K
97156 3,175 2,159 $392K
90791 Psychiatric diagnostic evaluation 1,293 1,287 $195K
T1016 Case management, each 15 minutes 761 548 $65K
97158 339 67 $38K
H0031 Mental health assessment, by non-physician 562 550 $33K
H2015 Comprehensive community support services, per 15 minutes 679 116 $13K
H0046 Mental health services, not otherwise specified 85 36 $0.00
H0032 Mental health service plan development by non-physician 29 16 $0.00