Behavioral
Wasatch Behavioral Health Special Service District
Wasatch Behavioral Health Special Service District was paid $178.23M by Medicaid between Jan 2018 and Nov 2024, across 49 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 19% of everything it billed.
33Billing provider infoWASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
PROVO, UT 84601
PROVO, UT 84601
33aNPI1356357115assigned 08/01/2006
33bProvider typeMental Health Counselor
28Total paid$178.23M
24GClaims1,898,120
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Counselor providers in Utah
Rank by total paid#1 of 82
Median peer was paid$58K
This provider vs. median3,055×
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 | 235,107 | $20.31M | |
| 2019 | 235,325 | $21.21M | |
| 2020 | 271,305 | $24.72M | |
| 2021 | 325,991 | $29.81M | |
| 2022 | 292,943 | $26.89M | |
| 2023 | 313,618 | $31.94M | |
| 2024incomplete | 223,831 | $23.35M |
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 | 19% | 269,424 | 138,554 | $33.89M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 9.5% | 255,709 | 115,476 | $16.95M |
| H0046 | Mental health services, not otherwise specified | 7.1% | 136,229 | 25,579 | $12.72M |
| H2014 | Skills training and development, per 15 minutes | 5.2% | 65,415 | 10,636 | $9.31M |
| H2027 | Psychoeducational service, per 15 minutes | 5.0% | 75,485 | 9,232 | $8.89M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 4.5% | 112,964 | 17,764 | $8.07M |
| 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 | 4.5% | 75,622 | 61,421 | $7.94M |
| T1001 | Nursing assessment / evaluation | 4.3% | 126,887 | 50,715 | $7.58M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.2% | 37,169 | 28,895 | $7.45M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 4.1% | 90,502 | 21,412 | $7.27M |
| H2013 | Psychiatric health facility service, per diem | 3.6% | 14,293 | 938 | $6.33M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.5% | 117,292 | 24,484 | $6.26M |
37 more codes
| H2016 | Community support for mental illness or disability, billed per day | 3.0% | 86,455 | $5.40M |
| 90834 | Psychotherapy session, about 45 minutes | 2.8% | 48,581 | $5.00M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 2.5% | 27,624 | $4.51M |
| S5150 | Respite care, billed per 15 minutes | 2.5% | 61,584 | $4.45M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.7% | 23,748 | $3.11M |
| S9485 | Crisis intervention mental health services, per diem | 1.3% | 4,382 | $2.37M |
| 99213 | Doctor's office visit, returning patient (routine) | 1.2% | 23,985 | $2.12M |
| 96131 | 1.1% | 6,448 | $2.04M | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.1% | 9,320 | $1.97M |
| 90832 | Psychotherapy session, about 30 minutes | 1.1% | 32,356 | $1.96M |
| 96130 | <1% | 13,126 | $1.68M | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 21,236 | $1.37M |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 11,300 | $1.36M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 43,863 | $1.16M |
| 99354 | <1% | 6,643 | $1.01M | |
| H0031 | Mental health assessment, by non-physician | <1% | 5,740 | $977K |
| H0006 | Alcohol and/or drug services; case management | <1% | 19,643 | $783K |
| 96101 | <1% | 2,545 | $663K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 1,852 | $645K |
| 96137 | <1% | 1,874 | $495K | |
| 90849 | <1% | 5,902 | $408K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,024 | $325K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12,337 | $279K |
| 90839 | <1% | 2,049 | $265K | |
| H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | <1% | 3,025 | $244K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,632 | $187K |
| 96136 | <1% | 2,042 | $163K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,819 | $153K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | <1% | 21,213 | $152K |
| T1016 | Case management, each 15 minutes | <1% | 2,540 | $116K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,189 | $103K |
| 80305 | <1% | 10,281 | $35K | |
| 90840 | <1% | 204 | $16K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 104 | $1K |
| S9981 | Medical records copying fee, administrative | <1% | 109 | $640.00 |
| 99080 | 0% | 76 | $0.00 | |
| 99355 | 0% | 278 | $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 officialWILLIAMS, DORAN (ASSOCIATE DIRECTORE)