Behavioral
H3 - Hope Healing & Health INC
H3 - Hope Healing & Health INC was paid $1.77M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 87% of everything it billed.
33Billing provider infoH3 - HOPE HEALING & HEALTH INC
ST. CLAIR SHORES, MI 48080
ST. CLAIR SHORES, MI 48080
33aNPI1730509993assigned 04/25/2014
33bProvider typeClinical Social Worker
28Total paid$1.77M
24GClaims23,485
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Michigan
Rank by total paid#26 of 411
Median peer was paid$49K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2018 | 1,216 | $71K | |
| 2019 | 2,082 | $151K | |
| 2020 | 3,148 | $230K | |
| 2021 | 4,821 | $374K | |
| 2022 | 5,435 | $426K | |
| 2023 | 5,100 | $371K | |
| 2024incomplete | 1,683 | $149K |
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 | 87% | 20,207 | 7,701 | $1.54M |
| 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 | 6.4% | 1,652 | 1,358 | $114K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 373 | 113 | $38K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.5% | 306 | 296 | $26K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 255 | 143 | $14K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 364 | 328 | $14K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 121 | 117 | $13K |
| 96131 | <1% | 71 | 58 | $8K | |
| 96130 | <1% | 76 | 73 | $4K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 41 | 12 | $3K |
| 80305 | <1% | 19 | 12 | $20.86 |
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 officialPALEN, REBECCA (OWNER/OWNER)