South Community INC

South Community INC was paid $54.53M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 35% of everything it billed.

33Billing provider infoSOUTH COMMUNITY INC
MORAINE, OH 45439

33aNPI1639128176assigned 05/10/2006

33bProvider typeMental Health Clinic/Center (Including Community Mental Health Center)

28Total paid$54.53M

24GClaims847,939

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Ohio

Rank by total paid#2 of 211

Median peer was paid$280K

This provider vs. median194×

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	157,869	$9.31M
2019	135,825	$8.52M
2020	133,435	$7.93M
2021	123,462	$7.45M
2022	105,386	$7.09M
2023	105,385	$7.23M
2024incomplete	86,577	$7.00M

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	35%	293,162	131,048	$19.13M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	15%	86,885	55,005	$8.17M
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	13%	75,911	68,187	$7.35M
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	10.0%	149,597	67,674	$5.43M
H2020	Therapeutic behavioral services, per diem	8.8%	28,329	2,002	$4.80M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	6.1%	66,621	37,921	$3.35M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	4.2%	34,898	22,007	$2.26M
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	1.9%	29,158	19,838	$1.03M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.9%	8,082	7,084	$1.02M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	9,155	8,228	$591K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	8,111	4,812	$521K
90785		<1%	42,716	25,449	$467K

7 more codes

90853	Group psychotherapy (other than of a multiple-family group)	<1%	14,603	$335K
99205	Prolong outpt/office vis	<1%	149	$30K
99204	Doctor's office visit, new patient (more involved)	<1%	153	$25K
99354		<1%	162	$10K
99203	Doctor's office visit, new patient (routine)	<1%	59	$7K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	174	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14	$271.25

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 officialCARTER, LISA (CEO)

Same official

Other billing entities under CARTER, LISA

Full network →

Provider	Location	Paid
South Community INC.	Moraine, OH	$80K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.