Agency
Milestone Behavioral Health LLC
Milestone Behavioral Health LLC was paid $16.53M by Medicaid between Feb 2020 and Dec 2024, across 12 billing codes. Its largest line is H0032, Mental health service plan development by non-physician — 45% of everything it billed.
33Billing provider infoMILESTONE BEHAVIORAL HEALTH LLC
YARDLEY, PA 19067
YARDLEY, PA 19067
33aNPI1710335377assigned 05/24/2016
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$16.53M
24GClaims105,687
24DCodes billed12
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Pennsylvania
Rank by total paid#29 of 517
Median peer was paid$1.23M
This provider vs. median13×
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 | 8,883 | $6K | |
| 2021 | 23,447 | $2.16M | |
| 2022 | 21,753 | $2.93M | |
| 2023 | 25,401 | $4.37M | |
| 2024incomplete | 26,203 | $7.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0032 | Mental health service plan development by non-physician | 45% | 42,822 | 9,867 | $7.52M |
| H2021 | Community-based wrap-around services, per 15 minutes | 31% | 16,538 | 1,438 | $5.06M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 11% | 25,516 | 8,602 | $1.88M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 10% | 14,389 | 4,138 | $1.70M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,033 | 1,981 | $152K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 834 | 806 | $95K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,178 | 1,170 | $55K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 622 | 342 | $55K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 285 | 210 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 592 | 501 | $8K |
| H0046 | Mental health services, not otherwise specified | <1% | 712 | 178 | $6K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 0% | 166 | 150 | $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 officialMARSEGLIA, ERIC (OWNER/ATTORNEY)