Physician
Hillcrest Family Services
Hillcrest Family Services was paid $32.52M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 56% of everything it billed.
33Billing provider infoHILLCREST FAMILY SERVICES
DUBUQUE, IA 52001
DUBUQUE, IA 52001
33aNPI1326096116assigned 05/04/2006
33bProvider typePsychiatry Physician
28Total paid$32.52M
24GClaims368,832
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Iowa
Rank by total paid#1 of 26
Median peer was paid$23K
This provider vs. median1,388×
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 | 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 | |
| 2024incomplete | 34,092 | $3.52M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 56% | 145,660 | 11,479 | $18.21M |
| 99490 | Ccm add 20min | 11% | 25,606 | 25,268 | $3.46M |
| H0040 | Assertive community treatment program, per diem | 7.7% | 45,239 | 2,217 | $2.49M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.2% | 32,791 | 20,460 | $2.01M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.5% | 19,214 | 11,238 | $1.79M |
| 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 | 3.4% | 25,938 | 23,792 | $1.10M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.2% | 6,898 | 6,580 | $718K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 16,038 | 15,542 | $554K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 1.5% | 4,549 | 601 | $490K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 10,193 | 6,628 | $349K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.0% | 2,732 | 2,617 | $333K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 4,778 | 2,510 | $228K |
26 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,347 | $216K |
| Q3014 | Telehealth originating site facility fee | <1% | 10,985 | $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) | <1% | 2,466 | $165K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 420 | $57K |
| T1016 | Case management, each 15 minutes | <1% | 2,034 | $45K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutes | <1% | 2,108 | $33K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 450 | $31K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 332 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 884 | $12K |
| 99510 | <1% | 385 | $7K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 92 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,677 | $6K |
| H0037 | Community psychiatric supportive treatment program, per diem | <1% | 24 | $5K |
| 96127 | <1% | 46 | $3K | |
| 99335 | <1% | 161 | $3K | |
| 90839 | <1% | 55 | $3K | |
| H0046 | Mental health services, not otherwise specified | <1% | 54 | $1K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 27 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 44 | $512.32 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | $234.08 |
| 86580 | <1% | 18 | $54.72 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 3,129 | $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) | 0% | 358 | $0.00 |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 46 | $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% | 25 | $0.00 |
| 99439 | 0% | 17 | $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 officialGANSEMER, GARY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Hillcrest Family Services | Dubuque, IA | $121K |
| Hillcrest Family Services | Dubuque, IA | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.