Behavioral
Four Oaks Family and Children's Services
Four Oaks Family and Children's Services was paid $27.35M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 41% of everything it billed.
33Billing provider infoFOUR OAKS FAMILY AND CHILDREN'S SERVICES
CEDAR RAPIDS, IA 52404
CEDAR RAPIDS, IA 52404
33aNPI1710046255assigned 12/08/2006
33bProvider typePsychologist
28Total paid$27.35M
24GClaims381,901
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychologist providers in Iowa
Rank by total paid#1 of 28
Median peer was paid$124K
This provider vs. median221×
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 | 42,046 | $3.31M | |
| 2019 | 43,542 | $3.34M | |
| 2020 | 54,728 | $3.61M | |
| 2021 | 69,563 | $3.87M | |
| 2022 | 69,951 | $5.02M | |
| 2023 | 58,037 | $4.54M | |
| 2024incomplete | 44,034 | $3.65M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 41% | 147,267 | 7,521 | $11.26M |
| 99490 | Ccm add 20min | 38% | 87,851 | 76,271 | $10.40M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 8.9% | 27,724 | 6,119 | $2.43M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.9% | 32,647 | 12,866 | $2.15M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.0% | 7,197 | 2,266 | $277K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,858 | 2,773 | $226K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,184 | 1,968 | $221K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 3,057 | 1,566 | $196K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,037 | 989 | $147K |
| Q3014 | Telehealth originating site facility fee | <1% | 2,625 | 1,119 | $28K |
| H0031 | Mental health assessment, by non-physician | <1% | 102 | 96 | $11K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 38 | 25 | $2K |
8 more codes
| 90785 | <1% | 225 | $519.36 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 4,826 | $57.31 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 47,798 | $33.14 |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 3,041 | $0.00 |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 1,025 | $0.00 |
| 99439 | 0% | 5,414 | $0.00 | |
| 99426 | 0% | 622 | $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)). | 0% | 1,363 | $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 officialO'NEILL, MARY BETH (PRESIDENT/CEO)