Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cummins Behavioral Health Systems, Incorporated

Cummins Behavioral Health Systems, Incorporated was paid $108.47M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is H2014, Skills training and development, per 15 minutes — 60% of everything it billed.

33Billing provider infoCUMMINS BEHAVIORAL HEALTH SYSTEMS, INCORPORATED
AVON, IN 46123
33aNPI1740232115assigned 05/16/2006
28Total paid$108.47M
24GClaims1,477,214
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Non-emergency Medical Transport (VAN) providers in Indiana

Rank by total paid#1 of 50
Median peer was paid$40K
This provider vs. median2,732×

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

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
2018228,269$17.60M
2019217,788$16.72M
2020210,977$14.71M
2021196,052$15.53M
2022216,266$16.10M
2023228,754$16.93M
2024incomplete179,108$10.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2014 Skills training and development, per 15 minutes 60% 554,855 174,616 $65.22M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 14% 320,526 158,939 $15.18M
T1016 Case management, each 15 minutes 7.9% 303,416 154,156 $8.53M
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 3.3% 40,651 6,530 $3.63M
T2022 Case management, per month 2.9% 3,690 3,396 $3.19M
H0004 Behavioral health counseling and therapy, per 15 minutes 2.0% 23,562 14,101 $2.13M
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 1.7% 32,149 27,162 $1.81M
H0031 Mental health assessment, by non-physician 1.6% 24,544 23,292 $1.78M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.4% 21,895 19,190 $1.55M
90847 Family psychotherapy with the patient present, 50 minutes 1.1% 21,403 17,211 $1.22M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 25,920 20,470 $890K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 8,536 5,587 $623K
22 more codes
90846 Family psychotherapy without the patient present, 50 minutes <1% 9,651 $549K
99213 Doctor's office visit, returning patient (routine) <1% 9,885 $371K
H0038 Self-help/peer services, per 15 minutes <1% 5,684 $328K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 13,377 $314K
80305 <1% 30,359 $294K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,766 $241K
99205 Prolong outpt/office vis <1% 1,390 $185K
H0034 Medication training and support, per 15 minutes <1% 6,431 $166K
99215 Doctor's office visit, returning patient (complex) <1% 1,234 $106K
99204 Doctor's office visit, new patient (more involved) <1% 977 $87K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,159 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 870 $22K
36415 Collection of venous blood by venipuncture <1% 5,091 $11K
99000 <1% 2,875 $5K
T2003 Non-emergency transportation, per trip <1% 413 $4K
H2035 Alcohol and/or other drug treatment program, per hour <1% 46 $2K
T2004 Non-emergency transport; commercial carrier, multi-pass <1% 335 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 163 $1K
T2022H 0% 211 $0.00
T2011 Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation 0% 42 $0.00
H004 Assert comm tx pgm per diem 0% 39 $0.00
90899 0% 69 $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 officialMACE, AMY (PRESIDENT & CEO)