Clinic
Trilogy Wellness, LLC
Trilogy Wellness, LLC was paid $443K by Medicaid between Nov 2020 and Dec 2024, across 5 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 77% of everything it billed.
33Billing provider infoTRILOGY WELLNESS, LLC
LYNDORA, PA 16045
LYNDORA, PA 16045
33aNPI1891279733assigned 09/17/2018
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$443K
24GClaims4,574
24DCodes billed5
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Pennsylvania
Rank by total paid#71 of 89
Median peer was paid$2.74M
This provider vs. median0.2×
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 | 88 | $3K | |
| 2021 | 775 | $23K | |
| 2022 | 682 | $55K | |
| 2023 | 1,361 | $131K | |
| 2024incomplete | 1,668 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 77% | 1,308 | 1,250 | $341K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 2,450 | 1,776 | $71K |
| 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 | 6.0% | 577 | 428 | $27K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 214 | 205 | $2K |
| 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% | 25 | 25 | $2K |
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 officialZAVILLA, JESSICA (EXECUTIVE DIRECTOR)