Agency
Great Circle
Great Circle was paid $7.76M by Medicaid between Jan 2018 and Mar 2023, across 18 billing codes. Its largest line is 90853, Group psychotherapy (other than of a multiple-family group) — 53% of everything it billed.
33Billing provider infoGREAT CIRCLE
SAINT JAMES, MO 65559
SAINT JAMES, MO 65559
33aNPI1285713289assigned 11/02/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$7.76M
24GClaims251,794
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Community/Behavioral Health Agency providers in Missouri
Rank by total paid#31 of 82
Median peer was paid$3.75M
This provider vs. median2.1×
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 | 71,481 | $2.01M | |
| 2019 | 61,405 | $1.89M | |
| 2020 | 61,627 | $1.98M | |
| 2021 | 39,819 | $1.23M | |
| 2022 | 15,646 | $552K | |
| 2023 | 1,816 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90853 | Group psychotherapy (other than of a multiple-family group) | 53% | 168,093 | 57,396 | $4.13M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 22% | 30,322 | 9,546 | $1.68M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 11% | 19,308 | 7,187 | $839K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 13,075 | 12,323 | $490K |
| Q3014 | Telehealth originating site facility fee | 2.5% | 13,930 | 9,463 | $194K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.7% | 1,057 | 930 | $134K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.5% | 2,813 | 1,386 | $117K |
| 96131 | <1% | 317 | 308 | $57K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 810 | 729 | $44K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,010 | 669 | $24K |
| 96130 | <1% | 312 | 305 | $19K | |
| 96101 | <1% | 48 | 47 | $11K |
6 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 229 | $7K |
| 96136 | <1% | 174 | $5K | |
| 96137 | <1% | 174 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $3K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutes | <1% | 52 | $796.95 |
| 0364T | <1% | 27 | $212.52 |
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.
From NPPES
Who's on the registration
Authorized officialKLIETHERMES, DAWN (CREDENTIALING SPECIALIST)