Agency
Balance Mental Health INC
Balance Mental Health INC was paid $4.11M by Medicaid between Feb 2019 and Nov 2024, across 6 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 95% of everything it billed.
33Billing provider infoBALANCE MENTAL HEALTH INC
MIAMI, FL 33135
MIAMI, FL 33135
33aNPI1982178265assigned 01/19/2019
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$4.11M
24GClaims38,595
24DCodes billed6
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Florida
Rank by total paid#74 of 659
Median peer was paid$392K
This provider vs. median10×
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 | 8,244 | $1.16M | |
| 2020 | 12,085 | $960K | |
| 2021 | 6,204 | $703K | |
| 2023 | 4,005 | $364K | |
| 2024incomplete | 8,057 | $928K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 95% | 34,825 | 2,562 | $3.92M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 2.4% | 1,956 | 146 | $98K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.5% | 965 | 407 | $60K |
| H0032 | Mental health service plan development by non-physician | <1% | 261 | 252 | $14K |
| H0031 | Mental health assessment, by non-physician | <1% | 484 | 285 | $11K |
| 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% | 104 | 98 | $7K |
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 officialGOMEZ, ELVIRA (PRESIDENT)