Agency
Philhaven
Philhaven was paid $5.92M by Medicaid between Feb 2018 and Dec 2024, across 18 billing codes. Its largest line is H0039, Assertive community treatment, face-to-face, per 15 minutes — 98% of everything it billed.
33Billing provider infoPHILHAVEN
LEBANON, PA 17042
LEBANON, PA 17042
33aNPI1972598076assigned 09/14/2005
33bProvider typePublic Health or Welfare Agency
28Total paid$5.92M
24GClaims51,450
24DCodes billed18
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Pennsylvania
Rank by total paid#15 of 52
Median peer was paid$1.61M
This provider vs. median3.7×
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 | 324 | $20K | |
| 2019 | 337 | $10K | |
| 2020 | 14,827 | $70K | |
| 2021 | 7,312 | $16K | |
| 2022 | 7,614 | $308K | |
| 2023 | 10,468 | $2.73M | |
| 2024incomplete | 10,568 | $2.76M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 98% | 36,152 | 6,127 | $5.82M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 1.0% | 2,355 | 403 | $62K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 178 | 121 | $12K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 79 | 61 | $7K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 393 | 86 | $6K |
| H0046 | Mental health services, not otherwise specified | <1% | 3,914 | 1,171 | $5K |
| 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 | <1% | 50 | 50 | $3K |
| 99255 | <1% | 87 | 87 | $2K | |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 3,585 | 468 | $1K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | <1% | 301 | 36 | $887.50 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 88 | 65 | $390.74 |
| 99253 | <1% | 15 | 14 | $156.84 |
6 more codes
| H0032 | Mental health service plan development by non-physician | 0% | 1,927 | $0.00 |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 0% | 289 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 33 | $0.00 |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutes | 0% | 960 | $0.00 |
| 97151 | 0% | 99 | $0.00 | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 0% | 945 | $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 officialKOTSALOS, MANTHA (VP & PRESIDENT PHILHAVEN)
| Provider | Location | Paid |
|---|---|---|
| Philhaven | Lebanon, PA | $19.79M |
| Philhaven | Lebanon, PA | $10.87M |
| Philhaven | Lebanon, PA | $7.04M |
| Philhaven | Lebanon, PA | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.