Medicaid Provider Spending

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

PHILHAVEN

NPI: 1972598076 · LEBANON, PA 17042 · Public Health or Welfare Agency · NPI assigned 09/14/2005

$5.92M
Total Medicaid Paid
51,450
Total Claims
9,678
Beneficiaries
18
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOTSALOS, MANTHA (VP & PRESIDENT PHILHAVEN)
NPI Enumeration Date09/14/2005

Related Entities

Other providers sharing the same authorized official: KOTSALOS, MANTHA

ProviderCityStateTotal Paid
PHILHAVEN LEBANON PA $19.79M
PHILHAVEN LEBANON PA $10.87M
PHILHAVEN LEBANON PA $7.04M
PHILHAVEN LEBANON PA $78K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 324 $20K
2019 337 $10K
2020 14,827 $70K
2021 7,312 $16K
2022 7,614 $308K
2023 10,468 $2.73M
2024 10,568 $2.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0039 Assertive community treatment, face-to-face, per 15 minutes 36,152 6,127 $5.82M
H2015 Comprehensive community support services, per 15 minutes 2,355 403 $62K
90834 Psychotherapy, 45 minutes with patient 178 121 $12K
90837 Psychotherapy, 53 minutes with patient 79 61 $7K
H0004 Behavioral health counseling and therapy, per 15 minutes 393 86 $6K
H0046 Mental health services, not otherwise specified 3,914 1,171 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 50 50 $3K
99255 87 87 $2K
H2021 Community-based wrap-around services, per 15 minutes 3,585 468 $1K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 301 36 $887.50
99231 Subsequent hospital care, per day, straightforward or low complexity 88 65 $390.74
99253 15 14 $156.84
H0032 Mental health service plan development by non-physician 1,927 415 $0.00
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 289 127 $0.00
90791 Psychiatric diagnostic evaluation 33 33 $0.00
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 960 120 $0.00
97151 99 53 $0.00
H2019 Therapeutic behavioral services, per 15 minutes 945 241 $0.00