Counseling Associates of the Four States, LLC

Counseling Associates of the Four States, LLC was paid $179K by Medicaid between Jun 2019 and Dec 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 66% of everything it billed.

33Billing provider infoCOUNSELING ASSOCIATES OF THE FOUR STATES, LLC
JOPLIN, MO 64804

33aNPI1023255106assigned 01/12/2009

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$179K

24GClaims2,539

24DCodes billed3

24AFirst – last monthJun 2019 – Dec 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Missouri

Rank by total paid#5 of 64

Median peer was paid$2K

This provider vs. median74×

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	200	$7K
2020	323	$16K
2021	424	$18K
2022	343	$13K
2023	39	$4K
2024incomplete	1,210	$121K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	66%	1,170	540	$118K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	32%	1,338	544	$58K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.1%	31	31	$4K

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 officialCONKLIN, JACOB (OWNER, LPC)