Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN IOWA MENTAL HEALTH CENTER

NPI: 1659353670 · OTTUMWA, IA 52501 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 11/16/2005

$17.44M
Total Medicaid Paid
222,017
Total Claims
165,086
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHARK, CHRISTINA (EXECUTIVE DIRECTOR)
NPI Enumeration Date11/16/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,217 $1.65M
2019 28,196 $2.43M
2020 34,354 $3.07M
2021 40,311 $3.00M
2022 36,218 $2.70M
2023 33,511 $2.44M
2024 28,210 $2.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99490 Ccm add 20min 36,781 35,708 $6.81M
90834 Psychotherapy, 45 minutes with patient 40,071 23,555 $3.60M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,175 25,004 $1.82M
H0040 Assertive community treatment program, per diem 27,123 1,354 $1.54M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,260 8,204 $759K
90791 Psychiatric diagnostic evaluation 5,825 5,525 $716K
S9485 Crisis intervention mental health services, per diem 1,842 622 $581K
90792 Psychiatric diagnostic evaluation with medical services 2,611 2,508 $548K
Q3014 Telehealth originating site facility fee 24,643 21,005 $417K
90837 Psychotherapy, 53 minutes with patient 2,456 1,852 $210K
S0201 Partial hospitalization services, less than 24 hours, per diem 426 301 $137K
T1016 Case management, each 15 minutes 7,622 6,708 $88K
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs 2,686 1,991 $56K
90853 Group psychotherapy (other than of a multiple-family group) 775 316 $42K
90832 Psychotherapy, 30 minutes with patient 835 708 $37K
H2016 Comprehensive community support services, per diem 342 57 $31K
S9484 Crisis intervention mental health services, per hour 90 57 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 237 233 $14K
99442 144 127 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 817 732 $491.24
99441 24 20 $157.20
99439 336 332 $0.00
H0038 Self-help/peer services, per 15 minutes 9,403 9,202 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 5,219 5,045 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 13,182 12,869 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 971 937 $0.00
G2065 Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities 89 82 $0.00
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 32 32 $0.00