Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAPSTONE BEHAVIORAL HEALTHCARE, INC

NPI: 1174598908 · NEWTON, IA 50208 · Community/Behavioral Health Agency · NPI assigned 02/23/2006

$16.97M
Total Medicaid Paid
169,118
Total Claims
113,888
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNORTHCUTT, RENAE (ASSISTANT DIRECTOR)
NPI Enumeration Date02/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,336 $1.47M
2019 18,063 $1.67M
2020 24,367 $2.21M
2021 30,172 $2.55M
2022 32,446 $3.06M
2023 29,429 $3.54M
2024 19,305 $2.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2016 Comprehensive community support services, per diem 41,582 2,958 $5.69M
99490 Ccm add 20min 16,745 16,046 $3.17M
90837 Psychotherapy, 53 minutes with patient 23,859 17,162 $2.29M
90791 Psychiatric diagnostic evaluation 7,764 7,304 $1.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,089 15,040 $930K
90834 Psychotherapy, 45 minutes with patient 9,527 7,637 $914K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,573 9,588 $859K
96127 6,699 5,614 $581K
90792 Psychiatric diagnostic evaluation with medical services 2,446 2,342 $513K
90832 Psychotherapy, 30 minutes with patient 5,496 3,747 $255K
96137 1,382 1,303 $216K
96130 1,479 1,378 $209K
96136 1,380 1,328 $104K
99215 Prolong outpt/office vis 731 659 $91K
96101 229 147 $64K
Q3014 Telehealth originating site facility fee 2,203 1,833 $34K
H0037 Community psychiatric supportive treatment program, per diem 147 129 $21K
90785 462 387 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 739 538 $2K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 711 686 $64.12
G9008 Coordinated care fee, physician coordinated care oversight services 10,916 10,441 $54.08
99439 5,162 4,952 $25.58
H0038 Self-help/peer services, per 15 minutes 1,608 1,521 $14.00
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)). 729 724 $1.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 424 390 $0.00
99426 12 12 $0.00
G2065 Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities 24 22 $0.00