Behavioral
Omni Community Health, INC.
Omni Community Health, INC. was paid $77.68M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 64% of everything it billed.
33Billing provider infoOMNI COMMUNITY HEALTH, INC.
KNOXVILLE, TN 37909
KNOXVILLE, TN 37909
33aNPI1881024172assigned 11/22/2013
33bProvider typeProfessional Counselor
28Total paid$77.68M
24GClaims1,226,192
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Tennessee
Rank by total paid#1 of 87
Median peer was paid$30K
This provider vs. median2,558×
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 | 71,837 | $4.37M | |
| 2019 | 61,709 | $3.39M | |
| 2020 | 110,918 | $7.32M | |
| 2021 | 212,992 | $14.71M | |
| 2022 | 250,754 | $16.54M | |
| 2023 | 268,388 | $15.52M | |
| 2024incomplete | 249,594 | $15.82M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 64% | 316,587 | 279,045 | $49.40M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 7.5% | 1,503 | 1,296 | $5.80M |
| T1041 | Medicaid certified community behavioral health clinic services, per month | 4.5% | 741 | 560 | $3.47M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.8% | 39,368 | 19,633 | $2.98M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.8% | 62,414 | 36,292 | $2.93M |
| 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 | 3.6% | 72,229 | 54,249 | $2.78M |
| G9002 | Coordinated care fee, maintenance rate | 2.8% | 13,136 | 683 | $2.15M |
| H0037 | Community psychiatric supportive treatment program, per diem | 2.2% | 17,505 | 2,162 | $1.67M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.7% | 22,478 | 12,880 | $1.31M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 36,181 | 22,982 | $1.20M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 16,316 | 13,030 | $1.09M |
| 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% | 26,162 | 19,360 | $856K |
20 more codes
| T2022 | Case management, per month | 1.0% | 3,701 | $801K |
| H0043 | Supported housing, per diem | 1.0% | 15,832 | $787K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 6,541 | $384K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 648 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 333 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 273 | $9K |
| 90785 | <1% | 1,081 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 371 | $571.60 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 219,598 | $176.77 |
| 3008F | <1% | 10,146 | $160.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $114.16 |
| 3080F | <1% | 28 | $60.04 | |
| 82947 | <1% | 59 | $55.46 | |
| 81000 | <1% | 113 | $44.12 | |
| 80061 | Lipid panel | <1% | 59 | $23.40 |
| G9006 | Coordinated care fee, home monitoring | 0% | 13,960 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 223,688 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 14,976 | $0.00 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | 0% | 11,202 | $0.00 |
| G9004 | Coordinated care fee, risk adjusted low, initial | 0% | 78,924 | $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 officialMOYNIHAN, CHRISTOPHER (PRESIDENT OF BEHAVIORAL HEALTH)
| Provider | Location | Paid |
|---|---|---|
| Omni Family of Services Kentucky, INC. | Louisville, KY | $68K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.