Agency
The Transition House, INC.
The Transition House, INC. was paid $356K by Medicaid between Mar 2018 and Nov 2023, across 10 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 35% of everything it billed.
33Billing provider infoTHE TRANSITION HOUSE, INC.
SAINT CLOUD, FL 34769
SAINT CLOUD, FL 34769
33aNPI1942364062assigned 12/21/2006
33bProvider typeCase Management Agency
28Total paid$356K
24GClaims13,906
24DCodes billed10
24AFirst – last monthMar 2018 – Nov 2023
Compared with peers
Next to other Case Management Agency providers in Florida
Rank by total paid#232 of 357
Median peer was paid$839K
This provider vs. median0.4×
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 | 788 | $11.35 | |
| 2019 | 3,513 | $16K | |
| 2020 | 2,991 | $123K | |
| 2021 | 3,392 | $108K | |
| 2022 | 2,428 | $62K | |
| 2023 | 794 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 35% | 906 | 43 | $126K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 34% | 2,138 | 1,324 | $119K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 15% | 1,987 | 402 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 2,118 | 1,203 | $37K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.7% | 114 | 103 | $6K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 86 | 74 | $5K |
| G0411 | Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes | 1.0% | 6,042 | 462 | $4K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 42 | 32 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 441 | 112 | $3K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 32 | 12 | $436.50 |
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 officialLUCAS, MELISSA (CEO)