Behavioral
Saint Francis Behavioral Health Group, P.C.
Saint Francis Behavioral Health Group, P.C. was paid $3.15M by Medicaid between Jan 2018 and Mar 2022, across 26 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 24% of everything it billed.
33Billing provider infoSAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C.
HARTFORD, CT 06112
HARTFORD, CT 06112
33aNPI1801834890assigned 06/03/2006
33bProvider typeProfessional Counselor
28Total paid$3.15M
24GClaims107,195
24DCodes billed26
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Professional Counselor providers in Connecticut
Rank by total paid#8 of 418
Median peer was paid$79K
This provider vs. median40×
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 | 28,707 | $899K | |
| 2019 | 25,932 | $718K | |
| 2020 | 24,930 | $721K | |
| 2021 | 22,402 | $664K | |
| 2022 | 5,224 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 24% | 44,719 | 14,096 | $741K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 20% | 14,923 | 8,394 | $625K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 17% | 10,556 | 9,572 | $529K |
| 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 | 9.5% | 7,910 | 6,804 | $301K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.5% | 5,594 | 5,220 | $174K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 6,231 | 5,580 | $168K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.9% | 2,388 | 2,198 | $123K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.3% | 3,654 | 1,319 | $104K |
| 99221 | 2.8% | 2,387 | 2,112 | $87K | |
| 99223 | Prolong inpt eval add15 m | 2.6% | 1,030 | 927 | $83K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.9% | 683 | 554 | $59K |
| 99253 | 1.6% | 859 | 798 | $49K |
14 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 554 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 662 | $25K |
| 98968 | <1% | 573 | $16K | |
| 99442 | <1% | 954 | $14K | |
| 90836 | <1% | 498 | $11K | |
| 99254 | <1% | 87 | $7K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 765 | $5K |
| 99284 | Emergency room visit (serious) | <1% | 23 | $1K |
| 90785 | <1% | 499 | $1K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 61 | $557.89 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $447.22 |
| 99224 | <1% | 14 | $242.22 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 660 | $0.00 |
| 1036F | 0% | 896 | $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 officialKIDA, LAURA (BUSINESS MANAGER)