Black Hawk-Grundy Mental Health Center INC.

Black Hawk-Grundy Mental Health Center INC. was paid $20.69M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99490, Ccm add 20min — 36% of everything it billed.

33Billing provider infoBLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC.
WATERLOO, IA 50702

33aNPI1316944598assigned 07/05/2005

33bProvider typeMental Health Clinic/Center (Including Community Mental Health Center)

28Total paid$20.69M

24GClaims277,603

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Iowa

Rank by total paid#3 of 40

Median peer was paid$289K

This provider vs. median72×

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	30,951	$2.71M
2019	33,625	$3.10M
2020	41,986	$3.30M
2021	51,168	$3.50M
2022	48,766	$3.40M
2023	46,031	$2.82M
2024incomplete	25,076	$1.88M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99490	Ccm add 20min	36%	50,412	48,407	$7.46M
H0037	Community psychiatric supportive treatment program, per diem	16%	11,302	10,386	$3.38M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	16%	33,941	24,650	$3.24M
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	12%	32,173	30,313	$2.38M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	5.3%	20,496	13,598	$1.09M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.5%	15,948	15,396	$938K
90792	Psychiatric diagnostic evaluation with medical services	3.1%	3,120	3,017	$635K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.2%	3,356	3,246	$450K
H0038	Self-help/peer services, per 15 minutes	1.7%	30,407	21,043	$342K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	1,884	1,721	$179K
Q3014	Telehealth originating site facility fee	<1%	7,823	7,473	$160K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	1,500	1,133	$159K

18 more codes

T1016	Case management, each 15 minutes	<1%	4,588	$112K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,972	$80K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14,889	$41K
99204	Doctor's office visit, new patient (more involved)	<1%	160	$17K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	2,642	$9K
99443		<1%	550	$7K
96127		<1%	96	$4K
99442		<1%	585	$3K
H2016	Community support for mental illness or disability, billed per day	<1%	20	$2K
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)	<1%	26	$892.45
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	46	$650.60
99441		<1%	13	$97.40
G9008	Coordinated care fee, physician coordinated care oversight services	0%	24,742	$0.00
99439		0%	10,793	$0.00
99426		0%	1,338	$0.00
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	0%	448	$0.00
G2065	Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities	0%	687	$0.00
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	0%	1,646	$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 officialEACHUS, THOMAS (EXECUTIVE DIRECTOR)