Fulcrum Counseling Services, LLC

Fulcrum Counseling Services, LLC was paid $187K by Medicaid between Nov 2020 and Dec 2024, across 2 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 93% of everything it billed.

33Billing provider infoFULCRUM COUNSELING SERVICES, LLC
SCOTTSBLUFF, NE 69361

33aNPI1215402151assigned 10/08/2018

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$187K

24GClaims1,587

24DCodes billed2

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Nebraska

Rank by total paid#30 of 77

Median peer was paid$111K

This provider vs. median1.7×

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
2020	18	$2K
2021	212	$24K
2022	421	$49K
2023	488	$56K
2024incomplete	448	$57K

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	93%	1,505	629	$175K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	6.8%	82	38	$13K

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 officialCROUCH, SAMUEL (OWNER)