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

Real Solutions Counseling, LLC

Real Solutions Counseling, LLC was paid $1.22M by Medicaid between Jan 2018 and Jun 2024, across 13 billing codes. Its largest line is T1013, Sign language or oral interpretive services, per 15 minutes — 29% of everything it billed.

33Billing provider infoREAL SOLUTIONS COUNSELING, LLC
BOISE, ID 83706
33aNPI1588986376assigned 02/19/2010
28Total paid$1.22M
24GClaims19,228
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Idaho

Rank by total paid#24 of 90
Median peer was paid$314K
This provider vs. median3.9×

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$20K$40K$60K2018201920202021202220232024
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
20184,570$312K
20196,070$340K
20207,593$427K
2024incomplete995$138K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1013 Sign language or oral interpretive services, per 15 minutes 29% 5,520 1,107 $351K
H0038 Self-help/peer services, per 15 minutes 23% 2,461 699 $284K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 19% 3,801 1,570 $230K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 14% 2,299 766 $173K
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 5.0% 578 184 $60K
T2002 Non-emergency transportation; per diem 2.4% 2,131 877 $29K
T1016 Case management, each 15 minutes 2.1% 382 149 $26K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.1% 254 171 $26K
90847 Family psychotherapy with the patient present, 50 minutes 1.4% 211 133 $17K
H0031 Mental health assessment, by non-physician <1% 190 187 $11K
T1014 Telehealth transmission, per minute, professional services bill separately <1% 305 144 $6K
90785 <1% 1,083 600 $4K
1 more codes
90832 Psychotherapy session, about 30 minutes <1% 13 $499.20

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 officialGRIGG, JIM (OWNER)