Foundations Mental Health Center, LLC

Foundations Mental Health Center, LLC was paid $708K by Medicaid between Nov 2019 and Nov 2023, across 5 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 77% of everything it billed.

33Billing provider infoFOUNDATIONS MENTAL HEALTH CENTER, LLC
SIOUX CITY, IA 51106

33aNPI1457737793assigned 08/10/2015

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$708K

24GClaims11,375

24DCodes billed5

24AFirst – last monthNov 2019 – Nov 2023

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Iowa

Rank by total paid#10 of 37

Median peer was paid$124K

This provider vs. median5.7×

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
2019	399	$29K
2020	2,269	$167K
2021	2,290	$176K
2022	3,246	$221K
2023	3,171	$116K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	77%	6,701	944	$546K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	18%	2,400	1,000	$128K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	3.2%	434	209	$23K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	80	77	$7K
90785		<1%	1,760	703	$4K

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 officialHECHT, AMY (OWNER, CLINICAL DIRECTOR)