Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Alternative Consulting Enterprises LLC

Alternative Consulting Enterprises LLC was paid $4.62M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 34% of everything it billed.

33Billing provider infoALTERNATIVE CONSULTING ENTERPRISES LLC
SHILLINGTON, PA 19607
33aNPI1831195932assigned 06/23/2005
28Total paid$4.62M
24GClaims63,104
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#123 of 517
Median peer was paid$1.23M
This provider vs. median3.7×

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

$0$50K$100K$150K2018201920202021202220232024
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
2018458$0.00
20206,211$416K
202117,560$1.34M
202215,147$1.09M
202312,510$899K
2024incomplete11,218$876K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 34% 18,647 9,613 $1.56M
H0032 Mental health service plan development by non-physician 13% 3,782 1,025 $617K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 13% 16,678 12,179 $582K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 8.4% 7,542 7,109 $390K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 7.6% 3,160 2,286 $352K
H2021 Community-based wrap-around services, per 15 minutes 6.3% 3,133 304 $292K
90792 Psychiatric diagnostic evaluation with medical services 6.1% 1,200 1,190 $283K
90847 Family psychotherapy with the patient present, 50 minutes 5.2% 3,649 2,263 $240K
H0034 Medication training and support, per 15 minutes 2.6% 1,876 1,797 $122K
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 2.5% 1,086 1,029 $113K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 1,317 1,250 $41K
H0046 Mental health services, not otherwise specified <1% 88 25 $10K
5 more codes
90791 Psychiatric diagnostic evaluation <1% 27 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 70 $4K
90846 Family psychotherapy without the patient present, 50 minutes <1% 56 $3K
Q3014 Telehealth originating site facility fee <1% 769 $1K
H0031 Mental health assessment, by non-physician <1% 24 $1K

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 officialMODESTO, SALVATORE (DIRECTOR)