Hospital
Sequel Pomegranate Health Systems, LLC
Sequel Pomegranate Health Systems, LLC was paid $48K by Medicaid between Jan 2018 and Jan 2020, across 13 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 45% of everything it billed.
33Billing provider infoSEQUEL POMEGRANATE HEALTH SYSTEMS, LLC
COLUMBUS, OH 43223
COLUMBUS, OH 43223
33aNPI1962855452assigned 07/20/2016
33bProvider typePsychiatric Hospital
28Total paid$48K
24GClaims4,204
24DCodes billed13
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Psychiatric Hospital providers in Ohio
Rank by total paid#19 of 28
Median peer was paid$88K
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 | |
|---|---|---|---|
| 2018 | 1,741 | $16K | |
| 2019 | 2,383 | $32K | |
| 2020 | 80 | $605.84 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 45% | 2,572 | 1,164 | $21K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 34% | 1,086 | 555 | $16K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.5% | 95 | 87 | $5K |
| 99223 | Prolong inpt eval add15 m | 3.0% | 60 | 45 | $1K |
| 99221 | 1.9% | 54 | 38 | $904.54 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 96 | 62 | $751.02 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 48 | 29 | $543.80 |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 1.1% | 18 | 12 | $512.43 |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 1.1% | 32 | 15 | $506.02 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 27 | 18 | $430.85 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 33 | 15 | $361.38 |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 37 | 22 | $48.00 |
1 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 46 | $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 officialMOSES, MANDY (CHIEF PROGRAM OFFICER/EVP)
Parent organizationSEQUEL ACADEMY HOLDINGS, LLC
| Provider | Location | Paid |
|---|---|---|
| Sequel Pomegranate Health Systems, LLC | Columbus, OH | $5.28M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.