Sequel Pomegranate Health Systems, LLC

Sequel Pomegranate Health Systems, LLC was paid $5.28M by Medicaid between Jan 2018 and Jun 2020, across 21 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 37% of everything it billed.

33Billing provider infoSEQUEL POMEGRANATE HEALTH SYSTEMS, LLC
COLUMBUS, OH 43223

33aNPI1780037275assigned 07/20/2016

33bProvider typePsychiatric Residential Treatment Facility

28Total paid$5.28M

24GClaims86,712

24DCodes billed21

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Psychiatric Residential Treatment Facility providers in Ohio

Rank by total paid#5 of 7

Median peer was paid$7.60M

This provider vs. median0.7×

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	63,912	$3.95M
2019	16,826	$924K
2020	5,974	$407K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	37%	10,832	1,430	$1.95M
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	34%	41,198	6,460	$1.79M
H2020	Therapeutic behavioral services, per diem	11%	5,273	901	$576K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	6.8%	6,828	2,172	$358K
90853	Group psychotherapy (other than of a multiple-family group)	2.5%	9,617	1,652	$135K
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	2.2%	1,091	678	$116K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	2,109	960	$106K
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	1.8%	5,228	1,886	$93K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	304	124	$48K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	942	497	$33K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	906	415	$26K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	457	310	$18K

9 more codes

H2012	Behavioral health day treatment, per hour	<1%	330	$12K
99205	Prolong outpt/office vis	<1%	50	$9K
90785		<1%	746	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	139	$3K
96101		<1%	96	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	178	$3K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	107	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	13	$2K
90863		0%	268	$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 officialMOSES, MANDY (CHIEF PROGRAM OFFICER/EVP)

Parent organizationSEQUEL ACADEMY HOLDINGS, LLC

Same official

Other billing entities under MOSES, MANDY

Full network →

Provider	Location	Paid
Sequel Pomegranate Health Systems, LLC	Columbus, OH	$48K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.