Behavioral
Upper Valley Resource & Counseling LLC
Upper Valley Resource & Counseling LLC was paid $549K by Medicaid between Apr 2018 and Oct 2020, across 12 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 65% of everything it billed.
33Billing provider infoUPPER VALLEY RESOURCE & COUNSELING LLC
SUGAR CITY, ID 83448
SUGAR CITY, ID 83448
33aNPI1366986408assigned 12/08/2016
33bProvider typeClinical Social Worker
28Total paid$549K
24GClaims10,906
24DCodes billed12
24AFirst – last monthApr 2018 – Oct 2020
Compared with peers
Next to other Clinical Social Worker providers in Idaho
Rank by total paid#10 of 67
Median peer was paid$34K
This provider vs. median16×
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 | 3,929 | $204K | |
| 2019 | 3,556 | $176K | |
| 2020 | 3,421 | $170K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 65% | 7,336 | 2,701 | $355K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 13% | 1,493 | 547 | $71K |
| H0038 | Self-help/peer services, per 15 minutes | 6.6% | 371 | 115 | $36K |
| 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 | 4.4% | 336 | 324 | $24K |
| T1016 | Case management, each 15 minutes | 3.2% | 339 | 123 | $18K |
| H0031 | Mental health assessment, by non-physician | 1.7% | 43 | 43 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 101 | 100 | $9K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 1.5% | 107 | 52 | $8K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.5% | 205 | 66 | $8K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | <1% | 357 | 122 | $5K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 189 | 75 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 29 | 25 | $2K |
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 officialROBERTSON, DARRIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| New Horizons Mental Wellness Clinics | Pocatello, ID | $1.08M |
| New Horizons Mental Wellness Clinics PLLC | Pocatello, ID | $55K |
| Connections Family Medicine LLC | Pocatello, ID | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.