1700403011

1700403011 was paid $5.85M by Medicaid between Apr 2021 and Jan 2024, across 7 billing codes. Its largest line is H2020, Therapeutic behavioral services, per diem — 70% of everything it billed.

33Billing provider info1700403011

33aNPI1700403011

33bProvider type—

28Total paid$5.85M

24GClaims68,935

24DCodes billed7

24AFirst – last monthApr 2021 – Jan 2024

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	32	$2K
2022	15,521	$1.41M
2023	52,493	$4.35M
2024incomplete	889	$93K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2020	Therapeutic behavioral services, per diem	70%	31,389	1,928	$4.13M
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	29%	37,302	1,905	$1.71M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	124	118	$13K
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%	16	12	$2K
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	<1%	58	14	$887.04
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	16	12	$834.31
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	<1%	30	16	$134.82

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.