Pearl Health Clinic

Pearl Health Clinic was paid $9.90M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 32% of everything it billed.

33Billing provider infoPEARL HEALTH CLINIC
AMMON, ID 83406

33aNPI1447426465assigned 04/30/2008

33bProvider typeMental Health Counselor

28Total paid$9.90M

24GClaims160,476

24DCodes billed34

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in Idaho

Rank by total paid#1 of 113

Median peer was paid$46K

This provider vs. median217×

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	31,517	$1.83M
2019	32,890	$1.99M
2020	33,752	$1.88M
2021	12,410	$807K
2022	21,336	$1.37M
2023	19,133	$1.33M
2024incomplete	9,438	$688K

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	32%	59,380	25,403	$3.14M
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	17%	15,594	4,157	$1.71M
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	17%	22,891	21,562	$1.71M
H0038	Self-help/peer services, per 15 minutes	10%	9,948	3,084	$1.02M
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	5.4%	12,768	11,935	$538K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	5.4%	11,593	4,065	$537K
S5150	Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes	2.1%	5,163	1,371	$211K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.0%	2,453	1,876	$201K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.9%	2,006	2,001	$192K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	2,395	2,334	$117K
90847	Family psychotherapy with the patient present, 50 minutes	1.1%	1,366	757	$106K
99205	Prolong outpt/office vis	<1%	325	325	$53K

22 more codes

H0032	Mental health service plan development by non-physician	<1%	909	$49K
96139		<1%	156	$47K
H0031	Mental health assessment, by non-physician	<1%	698	$45K
T1016	Case management, each 15 minutes	<1%	699	$41K
99204	Doctor's office visit, new patient (more involved)	<1%	353	$37K
90785		<1%	8,088	$33K
96132		<1%	183	$19K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	264	$15K
H0023	Behavioral health outreach service (planned approach to reach a targeted population)	<1%	1,100	$15K
H0046	Mental health services, not otherwise specified	<1%	170	$13K
H1011	Family assessment by licensed behavioral health professional for state defined purposes	<1%	447	$13K
T2002	Non-emergency transportation; per diem	<1%	589	$6K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	519	$6K
96138		<1%	158	$5K
90838		<1%	76	$5K
90792	Psychiatric diagnostic evaluation with medical services	<1%	27	$4K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	41	$2K
96130		<1%	13	$1K
90836		<1%	21	$1K
99203	Doctor's office visit, new patient (routine)	<1%	13	$671.95
80305		<1%	56	$638.21
90832	Psychotherapy session, about 30 minutes	<1%	14	$534.27

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 officialWARREN, ZAKERY (OWNER)