Agency
Censeo Health LLC
Censeo Health LLC was paid $1.77M by Medicaid between Jan 2018 and Dec 2022, across 48 billing codes. Its largest line is 99343, — 67% of everything it billed.
33Billing provider infoCENSEO HEALTH LLC
DALLAS, TX 75244
DALLAS, TX 75244
33aNPI1538441761assigned 09/14/2011
33bProvider typeCase Management Agency
28Total paid$1.77M
24GClaims203,771
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Case Management Agency providers in Texas
Rank by total paid#104 of 219
Median peer was paid$1.45M
This provider vs. median1.2×
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 | 17,828 | $45K | |
| 2019 | 71,595 | $603K | |
| 2020 | 42,730 | $490K | |
| 2021 | 69,714 | $524K | |
| 2022 | 1,904 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99343 | 67% | 33,115 | 24,970 | $1.19M | |
| 99342 | 9.5% | 18,177 | 15,909 | $167K | |
| 99349 | 8.1% | 1,852 | 1,851 | $144K | |
| 1159F | 2.0% | 15,596 | 10,808 | $36K | |
| 1170F | 1.8% | 15,395 | 10,695 | $32K | |
| 1160F | 1.6% | 15,596 | 10,808 | $29K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1.6% | 14,854 | 10,302 | $28K |
| 3078F | 1.1% | 9,709 | 6,822 | $19K | |
| 1125F | <1% | 6,717 | 4,753 | $14K | |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 5,717 | 5,291 | $12K |
| 3074F | <1% | 6,110 | 4,319 | $12K | |
| 3008F | <1% | 6,971 | 3,799 | $10K |
36 more codes
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | <1% | 5,426 | $9K |
| 1090F | <1% | 3,928 | $8K | |
| 93922 | <1% | 2,836 | $8K | |
| 1126F | <1% | 3,110 | $7K | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 2,403 | $6K |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | <1% | 2,559 | $5K |
| 4010F | <1% | 2,971 | $4K | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | <1% | 2,084 | $4K |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | <1% | 2,592 | $4K |
| 3016F | <1% | 2,056 | $4K | |
| 3077F | <1% | 1,521 | $3K | |
| H0001 | Alcohol and/or drug assessment | <1% | 1,918 | $3K |
| 3075F | <1% | 1,018 | $3K | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 700 | $2K |
| 92250 | <1% | 267 | $1K | |
| 3079F | <1% | 882 | $917.78 | |
| 1220F | <1% | 318 | $847.21 | |
| 3288F | <1% | 388 | $182.75 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 316 | $131.03 |
| 3725F | <1% | 220 | $68.16 | |
| 1101F | <1% | 89 | $66.51 | |
| 82274 | 0% | 1,427 | $0.00 | |
| 2024F | 0% | 168 | $0.00 | |
| 2026F | 0% | 168 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 112 | $0.00 |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | 0% | 67 | $0.00 |
| 2022F | 0% | 168 | $0.00 | |
| 1100F | 0% | 24 | $0.00 | |
| 99429 | 0% | 5,898 | $0.00 | |
| 82044 | 0% | 875 | $0.00 | |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | 0% | 4,601 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,622 | $0.00 |
| 99406 | 0% | 164 | $0.00 | |
| 99350 | Prolong home eval add 15m | 0% | 881 | $0.00 |
| 3072F | 0% | 168 | $0.00 | |
| 3080F | 0% | 17 | $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 officialJONES, MEAGHAN (SENIOR VICE PRESIDENT)