Agency
Sjo Kids INC
Sjo Kids INC was paid $15.54M by Medicaid between Nov 2020 and Nov 2024, across 17 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 32% of everything it billed.
33Billing provider infoSJO KIDS INC
CINCINNATI, OH 45237
CINCINNATI, OH 45237
33aNPI1689224743assigned 09/19/2019
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$15.54M
24GClaims168,380
24DCodes billed17
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Ohio
Rank by total paid#37 of 417
Median peer was paid$469K
This provider vs. median33×
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 | |
|---|---|---|---|
| 2020 | 763 | $67K | |
| 2021 | 50,089 | $4.31M | |
| 2022 | 41,890 | $3.76M | |
| 2023 | 42,117 | $3.88M | |
| 2024incomplete | 33,521 | $3.52M |
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 | 32% | 56,507 | 24,279 | $4.97M |
| H2020 | Therapeutic behavioral services, per diem | 22% | 23,935 | 5,375 | $3.36M |
| 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 | 16% | 20,735 | 18,364 | $2.44M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 14% | 21,820 | 11,200 | $2.18M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 4.6% | 17,945 | 10,292 | $715K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.5% | 10,186 | 6,155 | $692K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.7% | 2,499 | 2,359 | $268K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 3,151 | 2,989 | $253K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 4,642 | 3,173 | $243K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 896 | 681 | $148K |
| H2012 | Behavioral health day treatment, per hour | <1% | 2,479 | 1,086 | $94K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 945 | 535 | $75K |
5 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 365 | $65K |
| 90785 | <1% | 1,835 | $20K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 377 | $10K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 50 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $2K |
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 officialCUMMINS, ERIC (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST. Joseph Orphanage | Cincinnati, OH | $20.05M |
| Sjo Kids INC | Cincinnati, OH | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.