Behavioral
Capital Area Counseling Service, INC
Capital Area Counseling Service, INC was paid $7.61M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is H2021, Community-based wrap-around services, per 15 minutes — 68% of everything it billed.
33Billing provider infoCAPITAL AREA COUNSELING SERVICE, INC
PIERRE, SD 57501
PIERRE, SD 57501
33aNPI1467449157assigned 09/29/2005
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$7.61M
24GClaims87,166
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in South Dakota
Rank by total paid#2 of 6
Median peer was paid$197K
This provider vs. median39×
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 | 13,148 | $1.06M | |
| 2019 | 11,527 | $899K | |
| 2020 | 8,110 | $552K | |
| 2021 | 15,663 | $1.16M | |
| 2022 | 11,806 | $1.16M | |
| 2023 | 13,823 | $1.30M | |
| 2024incomplete | 13,089 | $1.48M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 68% | 52,738 | 12,246 | $5.17M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 26% | 26,456 | 4,307 | $2.00M |
| 90863 | 3.4% | 3,271 | 2,368 | $259K | |
| T1012 | Alcohol and/or substance abuse services, skills development | 1.1% | 2,291 | 320 | $82K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 500 | 195 | $37K |
| W0037 | <1% | 398 | 398 | $24K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 240 | 72 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 121 | 52 | $9K |
| Q3014 | Telehealth originating site facility fee | <1% | 667 | 306 | $7K |
| 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% | 231 | 230 | $5K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 50 | 15 | $3K |
| 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 | 0% | 110 | 110 | $0.00 |
1 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 93 | $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, LARA (CFO/COO)