Mandala House, LLC

Mandala House, LLC was paid $548K by Medicaid between Jul 2019 and Dec 2024, across 7 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 92% of everything it billed.

33Billing provider infoMANDALA HOUSE, LLC
LOUISVILLE, KY 40204

33aNPI1659829760assigned 09/18/2016

33bProvider typeClinical Social Worker

28Total paid$548K

24GClaims8,499

24DCodes billed7

24AFirst – last monthJul 2019 – Dec 2024

Compared with peers

Next to other Clinical Social Worker providers in Kentucky

Rank by total paid#49 of 275

Median peer was paid$57K

This provider vs. median9.5×

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
2019	31	$2K
2020	526	$33K
2021	898	$64K
2022	1,871	$128K
2023	2,496	$170K
2024incomplete	2,677	$152K

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	92%	7,707	2,797	$502K
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	6.3%	598	484	$34K
99205	Prolong outpt/office vis	1.2%	79	56	$7K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	63	42	$3K
90792	Psychiatric diagnostic evaluation with medical services	<1%	18	12	$1K
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%	19	16	$768.28
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	15	12	$508.74

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 officialGILLES, JACKS (EXECUTIVE DIRECTOR)