Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SEQUEL POMEGRANATE HEALTH SYSTEMS, LLC

NPI: 1962855452 · COLUMBUS, OH 43223 · Psychiatric Hospital · NPI assigned 07/20/2016

$48K
Total Medicaid Paid
4,204
Total Claims
2,075
Beneficiaries
13
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialMOSES, MANDY (CHIEF PROGRAM OFFICER/EVP)
Parent OrganizationSEQUEL ACADEMY HOLDINGS, LLC
NPI Enumeration Date07/20/2016

Related Entities

Other providers sharing the same authorized official: MOSES, MANDY

ProviderCityStateTotal Paid
SEQUEL POMEGRANATE HEALTH SYSTEMS, LLC COLUMBUS OH $5.28M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,741 $16K
2019 2,383 $32K
2020 80 $605.84

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99231 Subsequent hospital care, per day, straightforward or low complexity 2,572 1,164 $21K
99232 Subsequent hospital care, per day, moderate complexity 1,086 555 $16K
99222 Initial hospital care, per day, moderate complexity 95 87 $5K
99223 Prolong inpt eval add15 m 60 45 $1K
99221 54 38 $904.54
99238 Hospital discharge day management, 30 minutes or less 96 62 $751.02
99233 Prolong inpt eval add15 m 48 29 $543.80
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 18 12 $512.43
H2017 Psychosocial rehabilitation services, per 15 minutes 32 15 $506.02
90792 Psychiatric diagnostic evaluation with medical services 27 18 $430.85
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 33 15 $361.38
H2019 Therapeutic behavioral services, per 15 minutes 37 22 $48.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46 13 $0.00