Agency
Heritage Behavioral Health Center INC.
Heritage Behavioral Health Center INC. was paid $28.77M by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is H0039, Assertive community treatment, face-to-face, per 15 minutes — 26% of everything it billed.
33Billing provider infoHERITAGE BEHAVIORAL HEALTH CENTER INC.
DECATUR, IL 62523
DECATUR, IL 62523
33aNPI1639231731assigned 12/14/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$28.77M
24GClaims378,290
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Illinois
Rank by total paid#2 of 182
Median peer was paid$483K
This provider vs. median60×
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 | 50,324 | $3.37M | |
| 2019 | 79,410 | $4.89M | |
| 2020 | 57,503 | $3.97M | |
| 2021 | 55,090 | $4.04M | |
| 2022 | 46,991 | $4.05M | |
| 2023 | 50,788 | $4.67M | |
| 2024incomplete | 38,184 | $3.77M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 26% | 76,829 | 3,860 | $7.58M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 20% | 74,437 | 23,893 | $5.66M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 15% | 53,190 | 25,498 | $4.39M |
| H2000 | Comprehensive multidisciplinary evaluation | 13% | 44,458 | 24,386 | $3.69M |
| T1016 | Case management, each 15 minutes | 7.7% | 37,902 | 16,792 | $2.22M |
| H2011 | Crisis intervention service, per 15 minutes | 7.6% | 17,181 | 10,084 | $2.19M |
| S9484 | Crisis intervention mental health services, per hour | 4.2% | 6,928 | 3,070 | $1.21M |
| H2010 | Comprehensive medication services, per 15 minutes | 3.2% | 35,496 | 15,766 | $917K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 17,108 | 7,295 | $264K |
| H0034 | Medication training and support, per 15 minutes | <1% | 9,747 | 7,347 | $228K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,741 | 1,555 | $149K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 372 | 314 | $130K |
6 more codes
| H0032 | Mental health service plan development by non-physician | <1% | 1,412 | $73K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 805 | $34K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 439 | $21K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | <1% | 50 | $4K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 46 | $877.14 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 149 | $629.87 |
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 officialGARRISON, MARY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Heritage Behavioral Health Center | Decatur, IL | $2.24M |
| Heritage Behavioral Health Center | Decatur, IL | $719K |
| Heritage Behavioral Health Center | Clinton, IL | $165K |
| Heritage Behavioral Health Center | Decatur, IL | $76K |
| Heritage Behavioral Health Center, INC | Decatur, IL | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.