Clinic
Philhaven
Philhaven was paid $19.79M by Medicaid between Sep 2020 and Dec 2024, across 15 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 32% of everything it billed.
33Billing provider infoPHILHAVEN
LEBANON, PA 17042
LEBANON, PA 17042
33aNPI1508081639assigned 04/16/2007
33bProvider typeAdolescent and Children Mental Health Clinic/Center
28Total paid$19.79M
24GClaims149,303
24DCodes billed15
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Adolescent and Children Mental Health Clinic/Center providers in Pennsylvania
Rank by total paid#4 of 40
Median peer was paid$1.48M
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 2,438 | $33K | |
| 2021 | 40,613 | $1.05M | |
| 2022 | 38,397 | $5.24M | |
| 2023 | 37,404 | $7.26M | |
| 2024incomplete | 30,451 | $6.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 32% | 37,457 | 4,281 | $6.29M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 18% | 25,809 | 6,840 | $3.63M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 17% | 30,380 | 2,694 | $3.35M |
| H2021 | Community-based wrap-around services, per 15 minutes | 17% | 31,601 | 4,314 | $3.30M |
| 97154 | 6.6% | 5,127 | 831 | $1.30M | |
| 97151 | 3.4% | 3,783 | 1,082 | $669K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.6% | 8,223 | 2,419 | $521K |
| 97156 | 2.0% | 3,175 | 2,159 | $392K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,293 | 1,287 | $195K |
| T1016 | Case management, each 15 minutes | <1% | 761 | 548 | $65K |
| 97158 | <1% | 339 | 67 | $38K | |
| H0031 | Mental health assessment, by non-physician | <1% | 562 | 550 | $33K |
3 more codes
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 officialKOTSALOS, MANTHA (VP & PRESIDENT PHILHAVEN)
| Provider | Location | Paid |
|---|---|---|
| Philhaven | Lebanon, PA | $10.87M |
| Philhaven | Lebanon, PA | $7.04M |
| Philhaven | Lebanon, PA | $5.92M |
| Philhaven | Lebanon, PA | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.