Behavioral
Pegasus Schools, INC
Pegasus Schools, INC was paid $1.40M by Medicaid between Mar 2019 and Dec 2024, across 8 billing codes. Its largest line is 90853, Group psychotherapy (other than of a multiple-family group) — 41% of everything it billed.
33Billing provider infoPEGASUS SCHOOLS, INC
LOCKHART, TX 78644
LOCKHART, TX 78644
33aNPI1316091200assigned 01/22/2007
33bProvider typeClinical Social Worker
28Total paid$1.40M
24GClaims50,688
24DCodes billed8
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Texas
Rank by total paid#7 of 195
Median peer was paid$58K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2019 | 643 | $2K | |
| 2020 | 2,159 | $66K | |
| 2021 | 14,429 | $407K | |
| 2022 | 13,714 | $388K | |
| 2023 | 11,359 | $319K | |
| 2024incomplete | 8,384 | $217K |
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) | 41% | 37,242 | 6,353 | $567K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 38% | 7,015 | 4,825 | $531K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 11% | 2,895 | 2,618 | $157K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 2,532 | 2,327 | $93K |
| 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 | 3.0% | 877 | 793 | $42K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 54 | 51 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 60 | 59 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $949.25 |
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 officialSMITH, ROBERTA (BILLING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| County of Routt | Steamboat Springs, CO | $676.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.