Agency
Northwest Aea 12
Northwest Aea 12 was paid $716K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 32% of everything it billed.
33Billing provider infoNORTHWEST AEA 12
SIOUX CITY, IA 51106
SIOUX CITY, IA 51106
33aNPI1649335183assigned 12/26/2006
33bProvider typeLocal Education Agency (LEA)
28Total paid$716K
24GClaims28,920
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in Iowa
Rank by total paid#58 of 101
Median peer was paid$1.33M
This provider vs. median0.5×
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 | 3,732 | $101K | |
| 2019 | 4,563 | $124K | |
| 2020 | 3,359 | $72K | |
| 2021 | 3,338 | $77K | |
| 2022 | 5,040 | $126K | |
| 2023 | 4,743 | $120K | |
| 2024incomplete | 4,145 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 32% | 11,881 | 7,717 | $229K |
| 96158 | 25% | 6,426 | 4,125 | $182K | |
| 96152 | 16% | 3,034 | 1,917 | $114K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 14% | 3,087 | 1,984 | $97K |
| 96159 | 7.0% | 3,352 | 2,255 | $50K | |
| T1027 | Family training and counseling for child development, per 15 minutes | 4.9% | 780 | 491 | $35K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.3% | 360 | 212 | $10K |
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 officialHESS, ROGER (CO-DIRECTOR OF SPECIAL EDUCATION)
| Provider | Location | Paid |
|---|---|---|
| Northwest Aea 12 | Sioux City, IA | $2.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.