Clinic
Red Oak Counseling, LTD.
Red Oak Counseling, LTD. was paid $686K by Medicaid between Jul 2018 and Feb 2024, across 12 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 84% of everything it billed.
33Billing provider infoRED OAK COUNSELING, LTD.
ELM GROVE, WI 53122
ELM GROVE, WI 53122
33aNPI1609890391assigned 07/26/2006
28Total paid$686K
24GClaims11,298
24DCodes billed12
24AFirst – last monthJul 2018 – Feb 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Wisconsin
Rank by total paid#37 of 108
Median peer was paid$332K
This provider vs. median2.1×
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 | 192 | $21K | |
| 2019 | 2,148 | $145K | |
| 2020 | 4,440 | $182K | |
| 2021 | 2,263 | $172K | |
| 2022 | 1,628 | $126K | |
| 2023 | 577 | $39K | |
| 2024incomplete | 50 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 84% | 6,400 | 2,538 | $576K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 14% | 3,619 | 1,665 | $94K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 166 | 101 | $6K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 68 | 59 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 211 | 73 | $3K |
| 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% | 188 | 137 | $2K |
| 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 | <1% | 57 | 48 | $1K |
| 96127 | <1% | 179 | 73 | $223.44 | |
| 80305 | <1% | 23 | 15 | $62.84 | |
| 99000 | <1% | 30 | 20 | $27.44 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 117 | 87 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 240 | 162 | $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 officialCLOYD, STACY (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Capstone Behavioral Health, INC. | Omaha, NE | $5.00M |
| Carolina Behavioral Care | Hillsborough, NC | $667K |
| Eugene Center for Anxiety and Stress, LLC | Eugene, OR | $441K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.