Commonsense Mental Health

Commonsense Mental Health was paid $136K by Medicaid between Oct 2020 and Jan 2023, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 50% of everything it billed.

33Billing provider infoCOMMONSENSE MENTAL HEALTH
SARATOGA SPRINGS, NY 12866

33aNPI1801451943assigned 05/03/2019

33bProvider typeMental Health Counselor

28Total paid$136K

24GClaims1,928

24DCodes billed4

24AFirst – last monthOct 2020 – Jan 2023

Compared with peers

Next to other Mental Health Counselor providers in New York

Rank by total paid#211 of 529

Median peer was paid$77K

This provider vs. median1.8×

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	97	$9K
2021	1,546	$111K
2022	260	$15K
2023	25	$1K

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	50%	748	270	$69K
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	27%	540	440	$37K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	20%	623	514	$27K
90792	Psychiatric diagnostic evaluation with medical services	2.5%	17	17	$3K

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 officialCRUMLEY, TIMOTHY (CLINICAL DIRECTOR)