Folium, INC.

Folium, INC. was paid $24.64M by Medicaid between Sep 2019 and Dec 2024, across 23 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 27% of everything it billed.

33Billing provider infoFOLIUM, INC.
CHAMBERSBURG, PA 17202

33aNPI1912183112assigned 01/17/2008

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$24.64M

24GClaims194,096

24DCodes billed23

24AFirst – last monthSep 2019 – Dec 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#20 of 517

Median peer was paid$1.23M

This provider vs. median20×

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
2019	154	$11K
2020	11,995	$817K
2021	45,198	$4.15M
2022	46,235	$6.10M
2023	47,295	$6.71M
2024incomplete	43,219	$6.85M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	27%	22,601	2,726	$6.73M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	23%	48,803	22,556	$5.58M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	15%	42,907	22,469	$3.62M
H0032	Mental health service plan development by non-physician	6.8%	10,127	2,432	$1.66M
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	6.4%	11,345	1,180	$1.58M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	4.3%	8,837	1,861	$1.06M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	3.7%	4,800	1,721	$912K
H2021	Community-based wrap-around services, per 15 minutes	2.8%	5,046	594	$688K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.3%	9,048	8,289	$569K
T1016	Case management, each 15 minutes	2.2%	2,204	1,194	$550K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	7,270	6,587	$547K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	5,806	4,582	$222K

11 more codes

96131		<1%	806	$159K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	1,862	$157K
90792	Psychiatric diagnostic evaluation with medical services	<1%	682	$148K
97156		<1%	1,284	$120K
96127		<1%	7,545	$95K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	873	$72K
96130		<1%	804	$53K
90791	Psychiatric diagnostic evaluation	<1%	421	$45K
99214	Doctor's office visit, returning patient (more involved)	<1%	371	$40K
H0046	Mental health services, not otherwise specified	<1%	638	$21K
H0031	Mental health assessment, by non-physician	<1%	16	$522.34

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 officialMONG, MICHELLE (CFO)