Agency
Talbert House
Talbert House was paid $38.02M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 44% of everything it billed.
33Billing provider infoTALBERT HOUSE
CINCINNATI, OH 45206
CINCINNATI, OH 45206
33aNPI1619900834assigned 07/09/2006
33bProvider typeCase Management Agency
28Total paid$38.02M
24GClaims580,454
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Ohio
Rank by total paid#5 of 90
Median peer was paid$1.18M
This provider vs. median32×
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 | 117,942 | $5.23M | |
| 2019 | 75,409 | $5.40M | |
| 2020 | 80,915 | $5.42M | |
| 2021 | 78,010 | $5.65M | |
| 2022 | 75,951 | $5.46M | |
| 2023 | 87,485 | $5.49M | |
| 2024incomplete | 64,742 | $5.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 44% | 202,375 | 80,591 | $16.80M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 22% | 95,648 | 52,389 | $8.32M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 7.7% | 86,636 | 42,067 | $2.92M |
| 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 | 5.4% | 23,446 | 19,476 | $2.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 34,456 | 30,022 | $2.03M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.1% | 31,229 | 18,856 | $1.93M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.8% | 40,565 | 21,861 | $1.84M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 1.5% | 14,696 | 9,524 | $587K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 3,878 | 2,968 | $306K |
| 90785 | <1% | 25,082 | 8,638 | $233K | |
| 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% | 1,343 | 1,186 | $194K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 9,179 | 2,076 | $193K |
20 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 5,027 | $189K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,342 | $107K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 643 | $70K |
| 99354 | <1% | 1,338 | $67K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 443 | $46K |
| H0006 | Alcohol and/or drug services; case management | <1% | 637 | $27K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 302 | $24K |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | <1% | 171 | $19K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 825 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 232 | $9K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 129 | $9K |
| 99355 | <1% | 147 | $9K | |
| S9482 | Family stabilization services, per 15 minutes | <1% | 42 | $6K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 113 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 46 | $5K |
| T1002 | Rn services, up to 15 minutes | <1% | 105 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 16 | $2K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 195 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 155 | $2K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 13 | $315.56 |
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 officialBROOKS, CARLA (CHIEF FIANANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Talbert House, INC | Cincinnati, OH | $13.91M |
| Gateways Recovery INC | Cincinnati, OH | $2.88M |
| Talbert House Primary Care | Cincinnati, OH | $607K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.