Enhance, INC.

Enhance, INC. was paid $1.71M by Medicaid between Jan 2018 and Aug 2021, across 3 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 90% of everything it billed.

33Billing provider infoENHANCE, INC.
SEYMOUR, IN 47274

33aNPI1962585778assigned 10/23/2006

33bProvider typeMental Health Counselor

28Total paid$1.71M

24GClaims8,104

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Mental Health Counselor providers in Indiana

Rank by total paid#16 of 131

Median peer was paid$165K

This provider vs. median10×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration90% of spending on code H0004 with only 3 total codes billed. Highly concentrated billing profile.

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	1,774	$486K
2019	2,130	$483K
2020	2,430	$419K
2021	1,770	$325K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	90%	6,472	5,637	$1.54M
T2020	Day habilitation, waiver; per diem	5.1%	1,001	274	$87K
T2033	Residential care, not otherwise specified (nos), waiver; per diem	4.9%	631	178	$84K

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 officialSHEPHERD, JAMES (BEHAVIOR CONSULTANT)

Same official

Other billing entities under SHEPHERD, JAMES

Full network →

Provider	Location	Paid
Priority Home Medical Equipment LLC	Clinton, OK	$75K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.