Rock Valley Community Programs, INC.

Rock Valley Community Programs, INC. was paid $1.24M by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 57% of everything it billed.

33Billing provider infoROCK VALLEY COMMUNITY PROGRAMS, INC.
JANESVILLE, WI 53546

33aNPI1134306293assigned 01/30/2008

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$1.24M

24GClaims14,644

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Wisconsin

Rank by total paid#13 of 24

Median peer was paid$1.24M

This provider vs. median1.0×

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	3,553	$155K
2019	4,428	$278K
2020	2,552	$158K
2021	2,454	$154K
2022	1,263	$106K
2023	333	$109K
2024incomplete	61	$276K

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	57%	10,160	4,955	$710K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	30%	60	50	$376K
90792	Psychiatric diagnostic evaluation with medical services	3.2%	433	338	$40K
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	2.8%	994	785	$34K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.6%	635	452	$20K
90853	Group psychotherapy (other than of a multiple-family group)	1.6%	1,102	459	$19K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	1.4%	425	369	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	768	652	$17K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	20	19	$2K
80305		<1%	47	14	$185.57

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 officialMARTIN, SHAMEEKA (ASSISTANT EXECUTIVE DIRECTOR)