Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Janesville › NPI 1275259236
Behavioral

Healthnet of Rock County, INC.

Healthnet of Rock County, INC. was paid $61K by Medicaid between Apr 2023 and May 2024, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 67% of everything it billed.

33Billing provider infoHEALTHNET OF ROCK COUNTY, INC.
JANESVILLE, WI 53548
33aNPI1275259236assigned 10/12/2022
33bProvider typeCounselor
28Total paid$61K
24GClaims801
24DCodes billed4
24AFirst – last monthApr 2023 – May 2024
Compared with peers

Next to other Counselor providers in Wisconsin

Rank by total paid#17 of 59
Median peer was paid$7K
This provider vs. median8.7×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2023601$41K
2024incomplete200$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 67% 438 214 $41K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 25% 214 180 $15K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 7.7% 137 107 $5K
80305 <1% 12 12 $138.60

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 officialDYKEMAN, VANESSA (BILLING MANAGER)
Parent organizationHEALTHNET OF ROCK COUNTY, INC.