Behavioral
Guenther, Roxanne
Guenther, Roxanne was paid $56K by Medicaid between Jan 2018 and Sep 2019, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 93% of everything it billed.
33Billing provider infoGUENTHER, ROXANNE
ELM GROVE, WI 53122
ELM GROVE, WI 53122
33aNPI1235124173assigned 09/16/2005
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$56K
24GClaims1,450
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Wisconsin
Rank by total paid#55 of 147
Median peer was paid$12K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2018 | 578 | $22K | |
| 2019 | 872 | $34K |
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 | 93% | 766 | 335 | $51K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.5% | 624 | 310 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.5% | 35 | 28 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 25 | 12 | $265.52 |
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.