Clinic
West Phila Community Mental Health Consortium, INC.
West Phila Community Mental Health Consortium, INC. was paid $5.80M by Medicaid between Oct 2020 and Dec 2024, across 17 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 28% of everything it billed.
33Billing provider infoWEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC.
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
33aNPI1841319332assigned 03/28/2007
33bProvider typeClinic/Center
28Total paid$5.80M
24GClaims80,541
24DCodes billed17
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#27 of 176
Median peer was paid$441K
This provider vs. median13×
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 | 3,632 | $115.70 | |
| 2021 | 15,608 | $3K | |
| 2022 | 21,772 | $1.79M | |
| 2023 | 21,291 | $2.12M | |
| 2024incomplete | 18,238 | $1.88M |
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 | 28% | 10,592 | 1,986 | $1.63M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 24% | 21,904 | 11,812 | $1.41M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 15% | 11,657 | 1,984 | $893K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.3% | 11,341 | 6,999 | $538K |
| H0034 | Medication training and support, per 15 minutes | 4.4% | 9,668 | 7,850 | $257K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 3.9% | 2,888 | 2,146 | $223K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.3% | 4,486 | 2,751 | $194K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.7% | 857 | 837 | $156K |
| 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 | 2.3% | 1,160 | 1,110 | $135K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.0% | 2,465 | 2,281 | $115K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 1,074 | 1,033 | $85K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 1.4% | 1,126 | 931 | $80K |
5 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 236 | $38K |
| 96127 | <1% | 818 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 177 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 44 | $3K |
| 99201 | 0% | 48 | $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 officialDITROLIO, KAREN (DIRECTOR OF REVENUE CYCLE MANAGEMEN)