Behavioral
Sierra Behavioral Services, P.L.C.
Sierra Behavioral Services, P.L.C. was paid $129K by Medicaid between Jan 2018 and Dec 2023, across 18 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 47% of everything it billed.
33Billing provider infoSIERRA BEHAVIORAL SERVICES, P.L.C.
ROYAL OAK, MI 48067
ROYAL OAK, MI 48067
33aNPI1194772723assigned 05/28/2006
33bProvider typeClinical Psychologist
28Total paid$129K
24GClaims9,552
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Clinical Psychologist providers in Michigan
Rank by total paid#50 of 117
Median peer was paid$89K
This provider vs. median1.4×
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 | 36 | $1K | |
| 2020 | 81 | $3K | |
| 2021 | 1,894 | $26K | |
| 2022 | 3,509 | $36K | |
| 2023 | 4,032 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 47% | 2,052 | 1,641 | $61K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 30% | 577 | 573 | $38K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 11% | 378 | 310 | $15K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 6.9% | 182 | 177 | $9K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.5% | 120 | 120 | $5K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 17 | 13 | $1K |
| 1123F | 0% | 1,478 | 1,322 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 908 | 799 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 791 | 709 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 295 | 255 | $0.00 |
| G8535 | Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status | 0% | 52 | 52 | $0.00 |
| G9922 | Safety concerns screen provided and if positive then documented mitigation recommendations | 0% | 108 | 103 | $0.00 |
6 more codes
| G9916 | Functional status performed once in the last 12 months | 0% | 578 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,243 | $0.00 |
| 1124F | 0% | 147 | $0.00 | |
| 4322F | 0% | 46 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 283 | $0.00 |
| G9923 | Safety concerns screen provided and negative | 0% | 297 | $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 officialKOTLARZ, GREGORY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Seniors Wellness Group of Michigan, P.C. | Royal Oak, MI | $1.39M |
| Seniors Wellness Group, P.C. | Royal Oak, MI | $966K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.