Clinic
Pennsylvania Counseling Services INC.
Pennsylvania Counseling Services INC. was paid $79.98M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 38% of everything it billed.
33Billing provider infoPENNSYLVANIA COUNSELING SERVICES INC.
LEBANON, PA 17046
LEBANON, PA 17046
33aNPI1669474979assigned 06/01/2005
28Total paid$79.98M
24GClaims775,552
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Pennsylvania
Rank by total paid#1 of 121
Median peer was paid$1.18M
This provider vs. median68×
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 | 1,386 | $75K | |
| 2019 | 919 | $41K | |
| 2020 | 45,127 | $2.13M | |
| 2021 | 192,927 | $8.17M | |
| 2022 | 188,869 | $22.58M | |
| 2023 | 186,607 | $25.19M | |
| 2024incomplete | 159,717 | $21.79M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 38% | 420,129 | 182,446 | $30.08M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 23% | 68,937 | 8,913 | $18.39M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 11% | 56,766 | 4,946 | $9.17M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 5.6% | 21,690 | 6,148 | $4.44M |
| H2021 | Community-based wrap-around services, per 15 minutes | 3.5% | 27,388 | 2,505 | $2.80M |
| T1016 | Case management, each 15 minutes | 2.9% | 11,597 | 4,493 | $2.32M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.6% | 17,450 | 13,151 | $2.11M |
| H0032 | Mental health service plan development by non-physician | 2.1% | 11,372 | 2,849 | $1.70M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 26,372 | 25,188 | $1.48M |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 1.8% | 7,014 | 932 | $1.44M |
| 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 | 1.3% | 11,360 | 10,815 | $1.08M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 27,484 | 21,939 | $958K |
13 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 17,144 | $730K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 9,477 | $655K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,940 | $541K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 6,563 | $486K |
| 97151 | <1% | 2,291 | $428K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 7,076 | $359K |
| 97156 | <1% | 1,987 | $231K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,413 | $229K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 2,709 | $183K |
| 96127 | <1% | 14,766 | $73K | |
| H0046 | Mental health services, not otherwise specified | <1% | 1,059 | $66K |
| 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 | <1% | 307 | $17K |
| H0031 | Mental health assessment, by non-physician | <1% | 261 | $15K |
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 officialBREWER, DENA (DIRECTOR OF MANAGED CARE)