Clinic
Modern Psychiatry & Wellness, LLC
Modern Psychiatry & Wellness, LLC was paid $3.10M by Medicaid between Jan 2021 and Dec 2024, across 22 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 36% of everything it billed.
33Billing provider infoMODERN PSYCHIATRY & WELLNESS, LLC
HAMILTON, OH 45011
HAMILTON, OH 45011
33aNPI1699251553assigned 07/13/2018
28Total paid$3.10M
24GClaims41,346
24DCodes billed22
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Ohio
Rank by total paid#44 of 211
Median peer was paid$280K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2021 | 4,791 | $391K | |
| 2022 | 6,744 | $475K | |
| 2023 | 12,955 | $861K | |
| 2024incomplete | 16,856 | $1.37M |
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% | 12,140 | 5,961 | $1.11M |
| 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 | 28% | 8,840 | 7,267 | $876K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 16% | 9,889 | 3,232 | $504K |
| 99350 | Prolong home eval add 15m | 4.0% | 812 | 398 | $124K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 3.0% | 3,254 | 1,680 | $94K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.9% | 1,981 | 1,638 | $89K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 1,080 | 962 | $75K |
| H2020 | Therapeutic behavioral services, per diem | 1.6% | 266 | 45 | $50K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 494 | 447 | $49K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 580 | 420 | $34K |
| 99349 | <1% | 146 | 105 | $21K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 441 | 304 | $20K |
10 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 746 | $19K |
| 99205 | Prolong outpt/office vis | <1% | 45 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 45 | $7K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 119 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 21 | $3K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 348 | $3K |
| H2012 | Behavioral health day treatment, per hour | <1% | 31 | $2K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 41 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 90785 | <1% | 13 | $161.10 |
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 officialLOZANO, SUSANNA (C.O.O.)