Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Mental Edge Counseling, LLC

Mental Edge Counseling, LLC was paid $4.05M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 63% of everything it billed.

33Billing provider infoMENTAL EDGE COUNSELING, LLC
DOVER, DE 19904
33aNPI1699145854assigned 09/30/2015
33bProvider typeProfessional Counselor
28Total paid$4.05M
24GClaims75,103
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Professional Counselor providers in Delaware

Rank by total paid#1 of 23
Median peer was paid$15K
This provider vs. median265×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20187,075$21K
20199,128$187K
20207,816$626K
20218,291$646K
202213,352$887K
202315,698$913K
2024incomplete13,743$767K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 63% 38,371 22,637 $2.54M
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 10% 7,134 6,008 $424K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 8.0% 6,980 5,331 $325K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 6.2% 3,382 3,223 $250K
H0036 Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes 5.5% 1,455 199 $224K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 4.1% 5,964 4,502 $166K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 2,304 1,827 $74K
90785 <1% 8,996 6,012 $28K
90792 Psychiatric diagnostic evaluation with medical services <1% 379 302 $13K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 72 65 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 21 17 $54.38
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 0% 45 25 $0.00

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 officialVANDER VEN, JOHN (PRESIDENT)