Physician
Philmont Guidance Center, P.C.
Philmont Guidance Center, P.C. was paid $2.58M by Medicaid between Sep 2019 and Dec 2024, across 9 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 64% of everything it billed.
33Billing provider infoPHILMONT GUIDANCE CENTER, P.C.
HUNTINGDON VALLEY, PA 19006
HUNTINGDON VALLEY, PA 19006
33aNPI1972555605assigned 05/17/2006
33bProvider typeChild & Adolescent Psychiatry Physician
28Total paid$2.58M
24GClaims42,983
24DCodes billed9
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Child & Adolescent Psychiatry Physician providers in Pennsylvania
Rank by total paid#6 of 39
Median peer was paid$129K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2019 | 49 | $955.76 | |
| 2020 | 3,958 | $219K | |
| 2021 | 12,752 | $695K | |
| 2022 | 10,579 | $575K | |
| 2023 | 8,964 | $573K | |
| 2024incomplete | 6,681 | $515K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 64% | 26,410 | 12,544 | $1.66M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,153 | 4,919 | $302K |
| 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 | 7.6% | 4,258 | 3,938 | $197K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.5% | 2,385 | 1,286 | $143K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.2% | 2,730 | 2,610 | $134K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 1,344 | 508 | $70K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.4% | 386 | 377 | $63K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 305 | 239 | $12K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 12 | 12 | $988.92 |
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 officialBOWERS, KIMBERLY (DIRECTOR OF FINANCE)