Clinic
Guernsey Health Choices, INC.
Guernsey Health Choices, INC. was paid $700K by Medicaid between Jan 2018 and Feb 2023, across 9 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 36% of everything it billed.
33Billing provider infoGUERNSEY HEALTH CHOICES, INC.
CAMBRIDGE, OH 43725
CAMBRIDGE, OH 43725
33aNPI1649240920assigned 01/26/2006
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$700K
24GClaims13,893
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Ohio
Rank by total paid#61 of 97
Median peer was paid$1.34M
This provider vs. median0.5×
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 | 3,426 | $154K | |
| 2019 | 3,909 | $240K | |
| 2020 | 3,576 | $156K | |
| 2021 | 1,825 | $98K | |
| 2022 | 1,056 | $48K | |
| 2023 | 101 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 36% | 2,979 | 1,726 | $250K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 30% | 2,073 | 225 | $212K |
| H0006 | Alcohol and/or drug services; case management | 9.9% | 2,525 | 1,302 | $69K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 8.0% | 1,250 | 436 | $56K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 7.3% | 3,670 | 1,432 | $51K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.2% | 1,010 | 595 | $51K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 114 | 73 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 258 | 96 | $4K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 14 | 12 | $1K |
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 officialHALL, APRIL (FISCAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Guernsey Health Choices, INC. | Cambridge, OH | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.