Behavioral
Thedacare, Incorporated
Thedacare, Incorporated was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 44% of everything it billed.
33Billing provider infoTHEDACARE, INCORPORATED
MENASHA, WI 54952
MENASHA, WI 54952
33aNPI1306959515assigned 08/15/2006
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$1.46M
24GClaims95,701
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Wisconsin
Rank by total paid#11 of 147
Median peer was paid$12K
This provider vs. median124×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official FLETT, WILLIAM controls 20+ related entities in our dataset. Read more
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 | 12,635 | $141K | |
| 2019 | 12,053 | $167K | |
| 2020 | 11,480 | $142K | |
| 2021 | 14,020 | $200K | |
| 2022 | 14,324 | $235K | |
| 2023 | 17,259 | $285K | |
| 2024incomplete | 13,930 | $291K |
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 | 44% | 35,449 | 23,156 | $649K |
| 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 | 28% | 23,659 | 20,054 | $403K |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | 5.1% | 8,344 | 5,288 | $75K |
| Q3014 | Telehealth originating site facility fee | 4.5% | 9,768 | 8,486 | $66K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.6% | 911 | 760 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 4,061 | 3,531 | $42K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 753 | 616 | $29K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 2,145 | 908 | $27K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.4% | 2,166 | 911 | $21K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 769 | 395 | $20K |
| H2012 | Behavioral health day treatment, per hour | 1.2% | 805 | 132 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 295 | 261 | $10K |
20 more codes
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 2,676 | $10K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 816 | $9K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 238 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 129 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 169 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 55 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 119 | $3K |
| 96130 | <1% | 47 | $1K | |
| 96139 | <1% | 46 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 59 | $1K |
| 96131 | <1% | 46 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 116 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 128 | $876.61 |
| 96138 | <1% | 46 | $444.50 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 93 | $359.55 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 104 | $326.68 |
| 99442 | <1% | 34 | $244.12 | |
| 98968 | <1% | 25 | $152.39 | |
| 96146 | <1% | 12 | $4.44 | |
| 90899 | 0% | 1,618 | $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 officialFLETT, WILLIAM (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.