Clinic
Western Arkansas Counseling & Guidance Center, INC
Western Arkansas Counseling & Guidance Center, INC was paid $21.29M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 33% of everything it billed.
33Billing provider infoWESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC
FORT SMITH, AR 72903
FORT SMITH, AR 72903
33aNPI1326040692assigned 06/01/2005
28Total paid$21.29M
24GClaims360,546
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Arkansas
Rank by total paid#1 of 67
Median peer was paid$426K
This provider vs. median50×
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 HOLWICK, AARON controls 13+ 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 | 39,949 | $1.81M | |
| 2019 | 49,281 | $3.28M | |
| 2020 | 52,786 | $2.91M | |
| 2021 | 57,966 | $3.11M | |
| 2022 | 62,617 | $3.49M | |
| 2023 | 54,110 | $3.27M | |
| 2024incomplete | 43,837 | $3.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 33% | 86,186 | 47,741 | $6.97M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 18% | 49,697 | 19,991 | $3.77M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 16% | 94,971 | 23,273 | $3.36M |
| H2020 | Therapeutic behavioral services, per diem | 4.5% | 2,904 | 138 | $967K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 22,325 | 20,414 | $768K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.4% | 7,410 | 6,488 | $716K |
| 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 | 3.2% | 17,942 | 15,741 | $690K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.1% | 7,490 | 6,160 | $663K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 3.1% | 9,631 | 7,014 | $657K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.0% | 17,411 | 6,620 | $643K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.2% | 7,519 | 5,130 | $458K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 9,043 | 6,006 | $324K |
19 more codes
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.5% | 5,140 | $313K |
| H2014 | Skills training and development, per 15 minutes | <1% | 2,221 | $159K |
| 90885 | <1% | 3,096 | $159K | |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 2,602 | $144K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,982 | $134K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 2,138 | $77K |
| H0034 | Medication training and support, per 15 minutes | <1% | 3,366 | $60K |
| 90887 | <1% | 1,155 | $52K | |
| S0220 | Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes | <1% | 1,042 | $49K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 820 | $48K |
| T2020 | Day habilitation, waiver; per diem | <1% | 1,691 | $39K |
| 96130 | <1% | 439 | $24K | |
| 96101 | <1% | 225 | $19K | |
| 96131 | <1% | 83 | $12K | |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 77 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 94 | $1K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | <1% | 298 | $700.00 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 32 | $454.56 |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 516 | $446.40 |
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 officialHOLWICK, AARON (CEO)
| Provider | Location | Paid |
|---|---|---|
| The Guidance Center - Crisis Stabilization Unit | Fort Smith, AR | $4.52M |
| The Guidance Center - Van Buren Clinic | Van Buren, AR | $3.01M |
| The Guidance Center - Booneville Clinic | Booneville, AR | $936K |
| The Guidance Center - Mena Clinic | Mena, AR | $851K |
| The Guidance Center - Waldron Clinic | Waldron, AR | $331K |
| The Guidance Center - New Center | Fort Smith, AR | $247K |
| The Guidance Center - Ozark Clinic | Ozark, AR | $121K |
| The Guidance Center - Paris Clinic | Paris, AR | $117K |
| The Guidance Center - RCF Barling | Barling, AR | $66K |
| The Guidance Center - Primary Care Clinic | Fort Smith, AR | $37K |
| The Guidance Center - RCF Clarksville | Clarksville, AR | $16K |
| The Guidance Center - RCF Mulberry | Mulberry, AR | $12K |
| The Guidance Center - RCF Paris | Paris, AR | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.