Agency
Mainstream Counseling
Mainstream Counseling was paid $1.60M by Medicaid between Sep 2020 and Dec 2024, across 10 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 55% of everything it billed.
33Billing provider infoMAINSTREAM COUNSELING
HUNTINGDON, PA 16652
HUNTINGDON, PA 16652
33aNPI1720131311assigned 01/19/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.60M
24GClaims16,409
24DCodes billed10
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Pennsylvania
Rank by total paid#234 of 517
Median peer was paid$1.23M
This provider vs. median1.3×
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 | 1,058 | $85K | |
| 2021 | 3,831 | $301K | |
| 2022 | 4,381 | $418K | |
| 2023 | 3,869 | $425K | |
| 2024incomplete | 3,270 | $377K |
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 | 55% | 8,114 | 5,071 | $877K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 1,375 | 1,131 | $191K |
| H0034 | Medication training and support, per 15 minutes | 9.8% | 2,278 | 1,679 | $158K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 6.8% | 1,264 | 1,139 | $109K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 5.4% | 1,090 | 247 | $87K |
| 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 | 5.2% | 700 | 657 | $83K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.8% | 1,255 | 989 | $61K |
| H0001 | Alcohol and/or drug assessment | 1.5% | 272 | 255 | $25K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 47 | 47 | $13K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 14 | 12 | $687.38 |
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 officialWOOMER, LONNIE (OWNER)