Madison County

Madison County was paid $9.05M by Medicaid between Jul 2019 and Oct 2024, across 18 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 45% of everything it billed.

33Billing provider infoMADISON COUNTY
WAMPSVILLE, NY 13163

33aNPI1689780546assigned 08/22/2006

33bProvider typeMental Health Clinic/Center (Including Community Mental Health Center)

28Total paid$9.05M

24GClaims62,479

24DCodes billed18

24AFirst – last monthJul 2019 – Oct 2024

Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New York

Rank by total paid#20 of 112

Median peer was paid$1.84M

This provider vs. median4.9×

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

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
2019	3,527	$515K
2020	12,696	$1.72M
2021	16,383	$2.15M
2022	16,474	$2.63M
2023	12,120	$1.90M
2024incomplete	1,279	$132K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	45%	23,839	16,203	$4.11M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	23%	16,051	12,408	$2.08M
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	10%	6,562	5,666	$932K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	5.8%	2,324	2,179	$521K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.7%	3,694	3,457	$515K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	5.3%	5,912	5,266	$477K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.0%	1,275	1,139	$181K
90792	Psychiatric diagnostic evaluation with medical services	<1%	239	239	$75K
99442		<1%	478	467	$45K
99401		<1%	485	485	$27K
H2011	Crisis intervention service, per 15 minutes	<1%	224	180	$26K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	134	122	$18K

6 more codes

99443		<1%	140	$14K
99051		<1%	793	$13K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	178	$11K
98967		<1%	61	$5K
98966		<1%	64	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	26	$329.16

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 officialCOOK, TEISHA (DIRECTOR)