Agency
Philio, INC.
Philio, INC. was paid $6.61M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoPHILIO, INC.
TOLEDO, OH 43615
TOLEDO, OH 43615
33aNPI1528124567assigned 12/27/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$6.61M
24GClaims93,112
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Ohio
Rank by total paid#74 of 417
Median peer was paid$469K
This provider vs. median14×
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 | 31,343 | $1.81M | |
| 2019 | 17,757 | $1.34M | |
| 2020 | 11,710 | $892K | |
| 2021 | 7,514 | $669K | |
| 2022 | 8,653 | $697K | |
| 2023 | 8,875 | $667K | |
| 2024incomplete | 7,260 | $537K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 16,870 | 9,407 | $1.75M |
| H0006 | Alcohol and/or drug services; case management | 26% | 30,302 | 13,465 | $1.73M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 15% | 10,276 | 7,002 | $976K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 14% | 6,857 | 1,320 | $917K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 7.5% | 7,015 | 2,726 | $496K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 2,532 | 1,610 | $196K |
| T1003 | Lpn/lvn services, up to 15 minutes | 2.1% | 4,049 | 1,867 | $138K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 1.9% | 10,340 | 5,425 | $128K |
| H0038 | Self-help/peer services, per 15 minutes | 1.2% | 2,518 | 817 | $80K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 864 | 725 | $55K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 805 | 201 | $49K |
| H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | <1% | 140 | 118 | $47K |
5 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 officialEDWARDS, JANICE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Philio, INC. | Toledo, OH | $8.37M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.