Mid-Atlantic Behavioral Health, LLC
Mid-Atlantic Behavioral Health, LLC was paid $6.48M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 30% of everything it billed.
NEWARK, DE 19713
Next to other Addiction (Substance Use Disorder) Counselor providers in Delaware
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,551 | $56K | |
| 2019 | 23,827 | $350K | |
| 2020 | 24,334 | $1.42M | |
| 2021 | 16,059 | $1.26M | |
| 2022 | 20,937 | $1.65M | |
| 2023 | 17,151 | $1.18M | |
| 2024incomplete | 9,509 | $552K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 30% | 44,528 | 25,197 | $1.93M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 26% | 20,801 | 12,052 | $1.70M |
| 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 | 18% | 19,166 | 17,127 | $1.19M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.5% | 6,027 | 4,860 | $355K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 8,424 | 7,128 | $293K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.3% | 7,496 | 5,714 | $280K |
| 96131 | 2.6% | 955 | 712 | $167K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 1,754 | 1,588 | $122K |
| 96137 | 1.3% | 408 | 297 | $83K | |
| 96130 | 1.2% | 1,000 | 756 | $78K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.1% | 4,438 | 4,035 | $73K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,552 | 1,294 | $42K |
14 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 377 | $36K |
| 96139 | <1% | 231 | $35K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 440 | $22K |
| 96127 | <1% | 7,334 | $16K | |
| 96136 | <1% | 481 | $16K | |
| 90785 | <1% | 4,928 | $15K | |
| Q3014 | Telehealth originating site facility fee | <1% | 1,302 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 82 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 44 | $5K |
| 96138 | <1% | 231 | $4K | |
| 96101 | <1% | 166 | $3K | |
| 96102 | <1% | 82 | $2K | |
| 90836 | <1% | 108 | $1K | |
| 99408 | 0% | 13 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.