Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

On the Rock Counseling LLC

On the Rock Counseling LLC was paid $289K by Medicaid between Dec 2019 and Dec 2024, across 1 billing code. Its largest line is 90834, psychotherapy session, about 45 minutes — 100% of everything it billed.

33Billing provider infoON THE ROCK COUNSELING LLC
SPIRIT LAKE, IA 51360
33aNPI1477015741assigned 04/04/2019
28Total paid$289K
24GClaims3,739
24DCodes billed1
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Iowa

Rank by total paid#21 of 40
Median peer was paid$289K
This provider vs. median1.0×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201916$963.52
2020293$20K
2021613$41K
2022876$56K
20231,180$92K
2024incomplete761$78K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 100% 3,739 1,828 $289K

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 officialGRAVES, MELISSA (OWNER/MENTAL HEALTH COUNSELOR)
Same official

Other billing entities under GRAVES, MELISSA

Full network →
ProviderLocationPaid
Gateway Pediatrics, LLCSalisbury, MD$5.09M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.