Behavioral
Washington County Wisconsin
Washington County Wisconsin was paid $3.96M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is T1016, Case management, each 15 minutes — 82% of everything it billed.
33Billing provider infoWASHINGTON COUNTY WISCONSIN
WEST BEND, WI 53095
WEST BEND, WI 53095
33aNPI1609801778assigned 07/11/2006
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$3.96M
24GClaims47,921
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Wisconsin
Rank by total paid#6 of 147
Median peer was paid$12K
This provider vs. median337×
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 | 5,167 | $368K | |
| 2019 | 4,888 | $340K | |
| 2020 | 4,625 | $358K | |
| 2021 | 4,927 | $425K | |
| 2022 | 9,079 | $663K | |
| 2023 | 10,833 | $1.01M | |
| 2024incomplete | 8,402 | $803K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 82% | 28,713 | 15,172 | $3.26M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.6% | 5,783 | 3,391 | $223K |
| 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 | 4.8% | 6,114 | 5,335 | $191K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.6% | 1,457 | 761 | $144K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 1.2% | 433 | 390 | $49K |
| 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% | 2,080 | 1,881 | $37K |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | <1% | 216 | 211 | $26K |
| Q3014 | Telehealth originating site facility fee | <1% | 2,965 | 2,479 | $26K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 47 | 32 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 42 | 39 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | 12 | $881.88 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 43 | 37 | $673.52 |
1 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $608.25 |
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 officialDIAMOND, ERIC (ADMINISTRATOR)