Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PENNSYLVANIA COUNSELING SERVICES INC.

Counselor·LEBANON, PA·NPI: 1669474979Share

Compared to Counselor Peers

Total spending distribution among 9 providers in this specialty

P25MedianP75P90

This provider's total spending of $80.0M is at the 50th percentile among 9 Counselor providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$80.0M

$79,976,324

Total Claims

776K

Beneficiaries

332K

2.3 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$75K
-46%
2019
$41K
+5115%
2020
$2.1M
+284%
2021
$8.2M
+176%
2022
$22.6M
+12%
2023
$25.2M
-13%
2024
$21.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 38% of total spending.

90834Normal range

Psychotherapy, 45 minutes

$30.1M

420K claims · 37.6%

Your Cost: $71.59/claim|Median: $63.65
1.1× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$18.4M

69K claims · 23.0%

Your Cost: $266.75/claim|Median: $74.63
3.6× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$9.2M

57K claims · 11.5%

Your Cost: $161.60/claim|Median: $167.38
1.0× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$4.4M

22K claims · 5.6%

Your Cost: $204.67/claim|Median: $146.45
1.4× median
H2021Normal range

Community-based wrap-around services, per 15 min

$2.8M

27K claims · 3.5%

Your Cost: $102.20/claim|Median: $169.11
0.6× median
T1016Top 10%

Case management, each 15 min

$2.3M

12K claims · 2.9%

Your Cost: $200.26/claim|Median: $49.62
4.0× median
90837Top 25%

Psychotherapy, 60 minutes

$2.1M

17K claims · 2.6%

Your Cost: $121.08/claim|Median: $85.66
1.4× median
H0032Top 25%

Mental health service plan development

$1.7M

11K claims · 2.1%

Your Cost: $149.43/claim|Median: $80.64
1.9× median
99211Top 10%

Office/outpatient visit, minimal complexity

$1.5M

26K claims · 1.8%

Your Cost: $56.10/claim|Median: $12.93
4.3× median
H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$1.4M

7,014 claims · 1.8%

Your Cost: $204.97/claim|Median: $227.82
0.9× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$1.1M

11K claims · 1.3%

Your Cost: $94.74/claim|Median: $53.41
1.8× median
90832Normal range

Psychotherapy, 30 minutes

$958K

27K claims · 1.2%

Your Cost: $34.85/claim|Median: $41.28
0.8× median
90853Top 25%

Group psychotherapy

$730K

17K claims · 0.9%

Your Cost: $42.58/claim|Median: $25.02
1.7× median
90847Normal range

Family psychotherapy with patient, 50 min

$655K

9,477 claims · 0.8%

Your Cost: $69.14/claim|Median: $77.33
0.9× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$541K

2,940 claims · 0.7%

Your Cost: $183.89/claim|Median: $108.91
1.7× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$486K

6,563 claims · 0.6%

Your Cost: $74.00/claim|Median: $37.81
2.0× median
97151Normal range

Behavior identification assessment

$428K

2,291 claims · 0.5%

Your Cost: $186.94/claim|Median: $161.10
1.2× median
90846Normal range

Family psychotherapy without patient, 50 min

$359K

7,076 claims · 0.4%

Your Cost: $50.78/claim|Median: $76.61
0.7× median
97156Normal range

$231K

1,987 claims · 0.3%

Your Cost: $116.25/claim|Median: $88.65
1.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$229K

1,413 claims · 0.3%

Your Cost: $161.94/claim|Median: $99.21
1.6× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$183K

2,709 claims · 0.2%

Your Cost: $67.43/claim|Median: $84.12
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$73K

15K claims · 0.1%

Your Cost: $4.97/claim|Median: $3.67
1.4× median
H0046Normal range

Mental health services, not otherwise specified

$66K

1,059 claims · 0.1%

Your Cost: $61.97/claim|Median: $85.02
0.7× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$17K

307 claims · 0.0%

Your Cost: $56.42/claim|Median: $129.75
0.4× median
H0031Normal range

Mental health assessment by non-physician

$15K

261 claims · 0.0%

Your Cost: $57.33/claim|Median: $96.18
0.6× median

Other Top Providers in Pennsylvania

View all →

Zoll Services LLC

Durable Medical Equipment & Medical Supplies

$504.0M

Commonwealth of Pennsylvania Department of Education

Local Education Agency (LEA)

$326.0M

Excel Copmanion Care INC

Home Health

$308.4M

Childrens Hospital of Philadelphia

General Acute Care Hospital Children

$286.9M

Procare Pharmacy Direct, Llc.

Pharmacy, Community/Retail Pharmacy

$227.3M

Similar Providers

Other top providers in Counselor

Seven Counties Services, Inc.

Louisville, KY

$194.2M

Volunteer Behavioral Health Care System

Murfreesboro, TN

$168.3M

Richmond Behavioral Health Authority

Richmond, VA

$129.2M

← All providersAll providers in Pennsylvania →How we detect fraud →