Gavia Lifecare Center, LLC

Gavia Lifecare Center, LLC was paid $4.40M by Medicaid between May 2021 and Dec 2024, across 16 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 58% of everything it billed.

33Billing provider infoGAVIA LIFECARE CENTER, LLC
ROCHESTER, NY 14626

33aNPI1710592209assigned 09/10/2020

33bProvider typeClinical Social Worker

28Total paid$4.40M

24GClaims40,875

24DCodes billed16

24AFirst – last monthMay 2021 – Dec 2024

Compared with peers

Next to other Clinical Social Worker providers in New York

Rank by total paid#25 of 882

Median peer was paid$53K

This provider vs. median83×

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	2,427	$249K
2022	18,702	$2.10M
2023	16,739	$1.79M
2024incomplete	3,007	$259K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	58%	21,058	9,052	$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	12%	5,840	4,400	$547K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	8.1%	2,330	1,592	$358K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	5.5%	2,074	1,173	$242K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	4.8%	2,222	1,533	$209K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	3.6%	2,772	2,266	$157K
90792	Psychiatric diagnostic evaluation with medical services	2.3%	657	612	$103K
90853	Group psychotherapy (other than of a multiple-family group)	2.3%	2,110	735	$101K
90847	Family psychotherapy with the patient present, 50 minutes	1.4%	314	201	$62K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.3%	577	569	$58K
99051		<1%	629	396	$8K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	57	49	$5K

4 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	136	$3K
99406		<1%	47	$2K
99215	Doctor's office visit, returning patient (complex)	<1%	14	$1K
99402		<1%	38	$1K

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 officialNAU, SHERRY (EXECUTIVE DIRECTOR)