Agency
Rediscover
Rediscover was paid $213.71M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 100% of everything it billed.
33Billing provider infoREDISCOVER
LEES SUMMIT, MO 64086
LEES SUMMIT, MO 64086
33aNPI1376085100assigned 11/10/2016
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$213.71M
24GClaims1,971,534
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Missouri
Rank by total paid#5 of 82
Median peer was paid$3.75M
This provider vs. median57×
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 | 284,650 | $21.26M | |
| 2019 | 269,800 | $22.43M | |
| 2020 | 286,210 | $25.07M | |
| 2021 | 253,229 | $24.27M | |
| 2022 | 258,098 | $29.71M | |
| 2023 | 334,368 | $46.36M | |
| 2024incomplete | 285,179 | $44.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 100% | 738,150 | 177,266 | $213.14M |
| 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 | <1% | 71,836 | 57,019 | $287K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 34,872 | 18,630 | $196K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,142 | 1,983 | $40K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,739 | 1,515 | $18K |
| 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% | 1,446 | 1,314 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,837 | 2,602 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 399 | 386 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 130 | 121 | $1K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,023 | 1,906 | $1K |
| 90839 | <1% | 58 | 58 | $770.25 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,079 | 719 | $40.66 |
22 more codes
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 0% | 72,036 | $0.00 |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 10,769 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 47,593 | $0.00 |
| T1002 | Rn services, up to 15 minutes | 0% | 8,138 | $0.00 |
| 99406 | 0% | 39 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 15,882 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 402 | $0.00 |
| H2012 | Behavioral health day treatment, per hour | 0% | 22,862 | $0.00 |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 0% | 1,806 | $0.00 |
| H2036 | Alcohol and/or other drug treatment program, per diem | 0% | 66 | $0.00 |
| T1017 | Case management, billed per 15 minutes | 0% | 11,723 | $0.00 |
| H2015 | Community support for mental illness or disability, per 15 minutes | 0% | 22,632 | $0.00 |
| H0036 | Community psychiatric support and treatment, per 15 minutes | 0% | 475,270 | $0.00 |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 29,548 | $0.00 |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | 0% | 160,263 | $0.00 |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 0% | 1,574 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 9,738 | $0.00 |
| T1003 | Lpn/lvn services, up to 15 minutes | 0% | 3,668 | $0.00 |
| H2010 | Comprehensive medication services, per 15 minutes | 0% | 104,511 | $0.00 |
| H0037 | Community psychiatric supportive treatment program, per diem | 0% | 113,940 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 271 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 92 | $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 officialCHASE, STEWART (SENIOR VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Rediscover | Lees Summit, MO | $411K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.