Agency
Shade of the Tree
Shade of the Tree was paid $427K by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 92% of everything it billed.
33Billing provider infoSHADE OF THE TREE
SPIRIT LAKE, IA 51360
SPIRIT LAKE, IA 51360
33aNPI1104196096assigned 01/09/2012
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$427K
24GClaims5,978
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Iowa
Rank by total paid#93 of 134
Median peer was paid$2.44M
This provider vs. median0.2×
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 | 573 | $37K | |
| 2019 | 899 | $59K | |
| 2020 | 1,185 | $78K | |
| 2021 | 851 | $58K | |
| 2022 | 827 | $52K | |
| 2023 | 656 | $52K | |
| 2024incomplete | 987 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 92% | 5,415 | 2,132 | $394K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 7.7% | 563 | 180 | $33K |
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 officialGIGSTAD, DANIEL (OWNER)