Agency
Phoenix Rising Behavioral Healthcare and Recovery INC
Phoenix Rising Behavioral Healthcare and Recovery INC was paid $28.95M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 37% of everything it billed.
33Billing provider infoPHOENIX RISING BEHAVIORAL HEALTHCARE AND RECOVERY INC
CANTON, OH 44702
CANTON, OH 44702
33aNPI1891737292assigned 06/11/2006
33bProvider typeCase Management Agency
28Total paid$28.95M
24GClaims328,666
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Ohio
Rank by total paid#6 of 90
Median peer was paid$1.18M
This provider vs. median25×
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 | 48,007 | $3.84M | |
| 2019 | 50,991 | $4.38M | |
| 2020 | 51,174 | $4.50M | |
| 2021 | 47,131 | $4.45M | |
| 2022 | 46,789 | $4.48M | |
| 2023 | 54,596 | $3.95M | |
| 2024incomplete | 29,978 | $3.34M |
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 | 37% | 87,960 | 32,595 | $10.73M |
| 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 | 26% | 83,353 | 75,220 | $7.66M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 22% | 72,933 | 46,872 | $6.34M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 3.0% | 19,002 | 17,650 | $859K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 6,043 | 5,417 | $569K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.6% | 4,182 | 3,793 | $475K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 1.6% | 8,345 | 3,501 | $473K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 7,533 | 5,872 | $444K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.1% | 4,338 | 2,663 | $320K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 18,142 | 16,205 | $317K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 4,757 | 4,591 | $290K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 6,785 | 5,587 | $289K |
5 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,263 | $128K |
| 90785 | <1% | 2,987 | $30K | |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 717 | $13K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 101 | $7K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 225 | $4K |
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 officialGRUBBS, LISA (CEO)