Behavioral
Main Line Healthcare
Main Line Healthcare was paid $8.15M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoMAIN LINE HEALTHCARE
NEWTOWN SQUARE, PA 19073
NEWTOWN SQUARE, PA 19073
33aNPI1922077643assigned 03/15/2006
33bProvider typePsychologist
28Total paid$8.15M
24GClaims234,785
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Pennsylvania
Rank by total paid#9 of 170
Median peer was paid$102K
This provider vs. median80×
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 | 4,038 | $44K | |
| 2019 | 389 | $2K | |
| 2020 | 9,522 | $242K | |
| 2021 | 50,393 | $1.48M | |
| 2022 | 55,918 | $1.93M | |
| 2023 | 62,523 | $2.37M | |
| 2024incomplete | 52,002 | $2.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 19% | 39,696 | 38,108 | $1.54M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 19% | 25,329 | 10,922 | $1.51M |
| S9083 | Global fee urgent care centers | 18% | 12,413 | 11,990 | $1.44M |
| 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% | 27,111 | 23,999 | $1.30M |
| 99223 | Prolong inpt eval add15 m | 6.5% | 4,714 | 4,577 | $530K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.4% | 61,268 | 51,702 | $443K |
| 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 | 2.2% | 2,077 | 2,013 | $180K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.1% | 3,161 | 3,092 | $173K |
| 93000 | 2.1% | 12,563 | 12,124 | $171K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.0% | 6,886 | 5,507 | $162K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 3,338 | 1,553 | $139K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 1,272 | 1,201 | $106K |
84 more codes
| 0502F | <1% | 4,708 | $47K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 650 | $41K |
| 97803 | <1% | 531 | $34K | |
| 20610 | <1% | 946 | $27K | |
| 90686 | <1% | 3,389 | $24K | |
| 64483 | <1% | 239 | $23K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 496 | $21K |
| 99350 | Prolong home eval add 15m | <1% | 274 | $20K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 318 | $20K |
| 90715 | <1% | 1,956 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 582 | $20K |
| 93793 | <1% | 2,178 | $17K | |
| 90750 | <1% | 856 | $12K | |
| 93296 | <1% | 533 | $10K | |
| 95886 | <1% | 99 | $9K | |
| 81002 | <1% | 2,250 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 64 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 80 | $7K |
| 90732 | <1% | 234 | $7K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 314 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 314 | $6K |
| 76801 | <1% | 53 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 387 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 434 | $5K |
| 90651 | <1% | 517 | $5K | |
| 64615 | <1% | 40 | $4K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 404 | $4K |
| 95251 | <1% | 150 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 119 | $3K |
| 93295 | <1% | 103 | $3K | |
| 99459 | <1% | 137 | $3K | |
| 99254 | <1% | 28 | $3K | |
| 99253 | <1% | 24 | $3K | |
| 93298 | <1% | 43 | $2K | |
| 0002A | <1% | 132 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 19 | $2K |
| 93294 | <1% | 120 | $2K | |
| 0001A | <1% | 107 | $2K | |
| 99385 | <1% | 25 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 50 | $2K |
| 99305 | <1% | 29 | $1K | |
| 99220 | <1% | 13 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | $847.34 |
| 92504 | <1% | 26 | $765.97 | |
| 86580 | <1% | 496 | $643.91 | |
| 81025 | <1% | 144 | $593.82 | |
| 82962 | <1% | 317 | $539.26 | |
| 3078F | <1% | 213 | $520.00 | |
| 90670 | <1% | 29 | $473.25 | |
| 94618 | <1% | 12 | $385.03 | |
| 64484 | <1% | 13 | $263.21 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 43 | $261.33 |
| 99152 | <1% | 14 | $105.42 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 287 | $95.19 |
| 92551 | <1% | 38 | $85.52 | |
| 3074F | <1% | 71 | $70.00 | |
| 99173 | <1% | 108 | $49.43 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 14 | $32.40 |
| 3008F | <1% | 6,926 | $20.00 | |
| 96127 | <1% | 16 | $16.36 | |
| 96160 | <1% | 17 | $9.28 | |
| 0004A | 0% | 173 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 478 | $0.00 |
| 99337 | 0% | 102 | $0.00 | |
| 91300 | 0% | 108 | $0.00 | |
| 91322 | 0% | 14 | $0.00 | |
| 99334 | 0% | 18 | $0.00 | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 0% | 26 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 70 | $0.00 |
| 90734 | 0% | 16 | $0.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 100 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 102 | $0.00 |
| 99024 | 0% | 382 | $0.00 | |
| 1123F | 0% | 60 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 139 | $0.00 |
| 90656 | 0% | 99 | $0.00 | |
| 90694 | 0% | 56 | $0.00 | |
| J2785 | Injection, regadenoson, 0.1 mg | 0% | 13 | $0.00 |
| 0064A | 0% | 137 | $0.00 | |
| 91306 | 0% | 39 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 41 | $0.00 |
| 90480 | 0% | 14 | $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 officialFOOTE, JENNA (MANAGER)