Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HILLCREST FAMILY SERVICES

NPI: 1326096116 · DUBUQUE, IA 52001 · Psychiatry Physician · NPI assigned 05/04/2006

$32.52M
Total Medicaid Paid
368,832
Total Claims
150,779
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGANSEMER, GARY (CEO)
NPI Enumeration Date05/04/2006

Related Entities

Other providers sharing the same authorized official: GANSEMER, GARY

ProviderCityStateTotal Paid
HILLCREST FAMILY SERVICES DUBUQUE IA $121K
HILLCREST FAMILY SERVICES DUBUQUE IA $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45,036 $4.02M
2019 55,377 $4.84M
2020 61,203 $4.78M
2021 61,075 $5.25M
2022 55,281 $5.01M
2023 56,768 $5.11M
2024 34,092 $3.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2016 Comprehensive community support services, per diem 145,660 11,479 $18.21M
99490 Ccm add 20min 25,606 25,268 $3.46M
H0040 Assertive community treatment program, per diem 45,239 2,217 $2.49M
90834 Psychotherapy, 45 minutes with patient 32,791 20,460 $2.01M
90837 Psychotherapy, 53 minutes with patient 19,214 11,238 $1.79M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,938 23,792 $1.10M
90791 Psychiatric diagnostic evaluation 6,898 6,580 $718K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,038 15,542 $554K
H2017 Psychosocial rehabilitation services, per 15 minutes 4,549 601 $490K
90832 Psychotherapy, 30 minutes with patient 10,193 6,628 $349K
90792 Psychiatric diagnostic evaluation with medical services 2,732 2,617 $333K
H0038 Self-help/peer services, per 15 minutes 4,778 2,510 $228K
99215 Prolong outpt/office vis 3,347 3,041 $216K
Q3014 Telehealth originating site facility fee 10,985 9,843 $191K
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 2,466 596 $165K
H2019 Therapeutic behavioral services, per 15 minutes 420 140 $57K
T1016 Case management, each 15 minutes 2,034 1,921 $45K
T2021 Day habilitation, waiver; per 15 minutes 2,108 362 $33K
H2011 Crisis intervention service, per 15 minutes 450 399 $31K
90853 Group psychotherapy (other than of a multiple-family group) 332 137 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 884 687 $12K
99510 385 303 $7K
90847 Family psychotherapy with the patient present, 50 minutes 92 65 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,677 1,412 $6K
H0037 Community psychiatric supportive treatment program, per diem 24 24 $5K
96127 46 42 $3K
99335 161 146 $3K
90839 55 40 $3K
H0046 Mental health services, not otherwise specified 54 50 $1K
H1003 Prenatal care, at-risk enhanced service; education 27 27 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 44 43 $512.32
99308 Subsequent nursing facility care, per day, straightforward 12 12 $234.08
86580 18 18 $54.72
G9008 Coordinated care fee, physician coordinated care oversight services 3,129 2,186 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 358 285 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 46 30 $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)). 25 23 $0.00
99439 17 15 $0.00