Behavioral
Psychology and Learning Center, INC
Psychology and Learning Center, INC was paid $1.09M by Medicaid between Sep 2020 and Dec 2024, across 4 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 83% of everything it billed.
33Billing provider infoPSYCHOLOGY AND LEARNING CENTER, INC
MONACA, PA 15061
MONACA, PA 15061
33aNPI1568618114assigned 08/14/2008
33bProvider typeClinical Psychologist
28Total paid$1.09M
24GClaims14,859
24DCodes billed4
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Clinical Psychologist providers in Pennsylvania
Rank by total paid#11 of 99
Median peer was paid$86K
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 | 289 | $19K | |
| 2021 | 1,882 | $123K | |
| 2022 | 2,637 | $170K | |
| 2023 | 4,795 | $337K | |
| 2024incomplete | 5,256 | $440K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 83% | 12,576 | 5,148 | $906K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,940 | 1,814 | $136K |
| 99205 | Prolong outpt/office vis | 4.0% | 298 | 297 | $44K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 45 | 45 | $3K |
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 officialKOCH, GARY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Psychology and Learning Center | Monaca, PA | $3.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.