Clinic
Southeastern Behavioral Healthcare
Southeastern Behavioral Healthcare was paid $59.16M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 45% of everything it billed.
33Billing provider infoSOUTHEASTERN BEHAVIORAL HEALTHCARE
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1114002573assigned 10/26/2006
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$59.16M
24GClaims275,580
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in South Dakota
Rank by total paid#1 of 6
Median peer was paid$53K
This provider vs. median1,111×
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 | 42,527 | $8.03M | |
| 2019 | 41,959 | $8.45M | |
| 2020 | 32,954 | $5.66M | |
| 2021 | 42,014 | $9.19M | |
| 2022 | 42,725 | $9.04M | |
| 2023 | 39,582 | $9.12M | |
| 2024incomplete | 33,819 | $9.67M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 45% | 5,961 | 5,744 | $26.40M |
| T2020 | Day habilitation, waiver; per diem | 13% | 7,882 | 6,051 | $7.66M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 11% | 87,463 | 24,838 | $6.74M |
| H2021 | Community-based wrap-around services, per 15 minutes | 8.8% | 82,107 | 29,362 | $5.20M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 6.1% | 45,430 | 2,723 | $3.60M |
| T2031 | Assisted living; waiver, per diem | 4.9% | 2,206 | 1,791 | $2.90M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 4.6% | 5,020 | 4,893 | $2.72M |
| 90863 | 2.0% | 7,962 | 7,620 | $1.20M | |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | <1% | 5,038 | 4,894 | $517K |
| T2014 | Habilitation, prevocational, waiver; per diem | <1% | 5,022 | 4,895 | $419K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 5,141 | 2,011 | $412K |
| T2018 | Habilitation, supported employment, waiver; per diem | <1% | 964 | 956 | $331K |
12 more codes
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 5,048 | $318K |
| H2012 | Behavioral health day treatment, per hour | <1% | 1,146 | $238K |
| W0037 | <1% | 3,112 | $194K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,622 | $93K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 393 | $80K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,284 | $71K |
| 99412 | <1% | 648 | $44K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 986 | $25K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 44 | $62.52 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 43 | $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 officialBROWER, ROBYN (BUSINESS MANAGER)