Agency
Commonsense Wellness Network
Commonsense Wellness Network was paid $509K by Medicaid between Sep 2021 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoCOMMONSENSE WELLNESS NETWORK
CLIFTON PARK, NY 12065
CLIFTON PARK, NY 12065
33aNPI1942879242assigned 06/21/2021
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$509K
24GClaims6,799
24DCodes billed5
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in New York
Rank by total paid#129 of 235
Median peer was paid$1.02M
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 410 | $25K | |
| 2022 | 1,940 | $151K | |
| 2023 | 2,632 | $195K | |
| 2024incomplete | 1,817 | $138K |
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 | 38% | 2,125 | 1,836 | $193K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 34% | 2,909 | 2,534 | $172K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 21% | 1,126 | 454 | $107K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 626 | 548 | $37K |
| 99457 | <1% | 13 | 13 | $565.92 |
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 officialMERCED, CARLOS (OWNER)