Managed care
Hope INC
Hope INC was paid $1.29M by Medicaid between Jan 2018 and Nov 2022, across 15 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 51% of everything it billed.
33Billing provider infoHOPE INC
MILILANI, HI 96789
MILILANI, HI 96789
33aNPI1770741340assigned 05/29/2008
33bProvider typeExclusive Provider Organization
28Total paid$1.29M
24GClaims42,894
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2022
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 | 8,526 | $666K | |
| 2019 | 8,769 | $393K | |
| 2020 | 11,427 | $121K | |
| 2021 | 11,494 | $99K | |
| 2022 | 2,678 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 51% | 3,190 | 180 | $657K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 17% | 3,049 | 1,411 | $220K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 12% | 5,481 | 678 | $162K |
| 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 | 6.5% | 2,137 | 331 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 1,897 | 1,406 | $35K |
| H0038 | Self-help/peer services, per 15 minutes | 2.6% | 905 | 394 | $33K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 996 | 742 | $27K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.0% | 1,400 | 1,135 | $26K |
| 90836 | 1.7% | 518 | 438 | $22K | |
| 90838 | 1.3% | 204 | 166 | $17K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 75 | 61 | $5K |
| 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% | 125 | 95 | $5K |
3 more codes
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 officialPERPIGNAN, MONICA (DIRECTOR OF OPERATION)