Southwest Iowa Mental Health Center

Southwest Iowa Mental Health Center was paid $4.66M by Medicaid between Jan 2018 and Jul 2023, across 18 billing codes. Its largest line is 99490, Ccm add 20min — 38% of everything it billed.

33Billing provider infoSOUTHWEST IOWA MENTAL HEALTH CENTER
ATLANTIC, IA 50022

33aNPI1033181086assigned 02/03/2006

33bProvider typeMental Health Clinic/Center (Including Community Mental Health Center)

28Total paid$4.66M

24GClaims67,885

24DCodes billed18

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Iowa

Rank by total paid#9 of 40

Median peer was paid$289K

This provider vs. median16×

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	8,800	$592K
2019	9,601	$748K
2020	14,188	$1.02M
2021	16,322	$1.04M
2022	13,217	$893K
2023	5,757	$366K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99490	Ccm add 20min	38%	10,512	9,784	$1.75M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	24%	12,618	7,924	$1.11M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	9,131	8,612	$498K
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	11%	10,217	9,237	$490K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	5.7%	5,313	3,387	$267K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.4%	1,168	1,128	$157K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	2.8%	1,347	912	$131K
90792	Psychiatric diagnostic evaluation with medical services	2.2%	524	508	$104K
H2010	Comprehensive medication services, per 15 minutes	2.1%	9,792	7,321	$98K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	499	431	$35K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	348	78	$23K
90785		<1%	387	249	$1K

6 more codes

G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	2,499	$787.88
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	18	$401.44
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	15	$154.38
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	0%	504	$0.00
99439		0%	1,747	$0.00
G9008	Coordinated care fee, physician coordinated care oversight services	0%	1,246	$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 officialCOOLEY, LAURIE (EXECUTIVE DIRECTOR)