Agency
Prelude Behavioral Services
Prelude Behavioral Services was paid $4.29M by Medicaid between Jan 2018 and Jun 2022, across 14 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 61% of everything it billed.
33Billing provider infoPRELUDE BEHAVIORAL SERVICES
IOWA CITY, IA 52240
IOWA CITY, IA 52240
33aNPI1588615355assigned 05/15/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$4.29M
24GClaims46,189
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Community/Behavioral Health Agency providers in Iowa
Rank by total paid#54 of 134
Median peer was paid$2.44M
This provider vs. median1.8×
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 | 14,762 | $1.22M | |
| 2019 | 11,918 | $802K | |
| 2020 | 9,111 | $1.24M | |
| 2021 | 6,732 | $647K | |
| 2022 | 3,666 | $380K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 61% | 11,061 | 975 | $2.62M |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 14% | 10,472 | 512 | $621K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 8.7% | 9,254 | 3,113 | $375K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.7% | 2,800 | 2,464 | $245K |
| 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 | 4.5% | 4,093 | 893 | $192K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.8% | 1,119 | 695 | $79K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.2% | 648 | 448 | $50K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 1,079 | 732 | $46K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 2,579 | 1,593 | $27K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | <1% | 1,377 | 914 | $16K |
| 80305 | <1% | 1,074 | 786 | $9K | |
| 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% | 197 | 113 | $6K |
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 officialRUSSELL, CHRISTINE (CFO)