Agency
Behavior Management Systems, INC.
Behavior Management Systems, INC. was paid $19.81M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is H2021, Community-based wrap-around services, per 15 minutes — 39% of everything it billed.
33Billing provider infoBEHAVIOR MANAGEMENT SYSTEMS, INC.
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1295878122assigned 02/14/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$19.81M
24GClaims234,335
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in South Dakota
Rank by total paid#1 of 22
Median peer was paid$116K
This provider vs. median171×
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 | 38,859 | $3.11M | |
| 2019 | 36,173 | $2.96M | |
| 2020 | 26,611 | $2.03M | |
| 2021 | 37,302 | $2.80M | |
| 2022 | 35,977 | $2.91M | |
| 2023 | 29,059 | $2.57M | |
| 2024incomplete | 30,354 | $3.43M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 39% | 76,092 | 25,827 | $7.75M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 29% | 74,234 | 21,125 | $5.75M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 16% | 39,095 | 2,835 | $3.17M |
| 90863 | 5.4% | 15,903 | 13,835 | $1.08M | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.3% | 7,854 | 3,661 | $652K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 2.1% | 4,740 | 243 | $407K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.9% | 4,033 | 2,274 | $384K |
| H2012 | Behavioral health day treatment, per hour | 1.6% | 1,415 | 595 | $310K |
| W0037 | <1% | 1,842 | 1,842 | $121K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 4,267 | 3,153 | $99K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,516 | 1,266 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,110 | 847 | $25K |
6 more codes
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 307 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,489 | $16K |
| 90837 | Psychotherapy session, about an hour | <1% | 110 | $912.23 |
| CARE | Com care | 0% | 290 | $0.00 |
| NO BI | 0% | 13 | $0.00 | |
| 999 | Ovine, up to 999 usp units | 0% | 25 | $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 officialREIDT KILBER, LINDA (FINANCE DIRECTOR)