Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IA › Decorah › NPI 1710933445
Clinic

Northeast Iowa Mental Health Center

Northeast Iowa Mental Health Center was paid $7.72M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99490, Ccm add 20min — 41% of everything it billed.

33Billing provider infoNORTHEAST IOWA MENTAL HEALTH CENTER
DECORAH, IA 52101
33aNPI1710933445assigned 05/25/2006
28Total paid$7.72M
24GClaims97,937
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

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

Rank by total paid#7 of 40
Median peer was paid$289K
This provider vs. median27×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201810,560$983K
201912,825$1.11M
202017,177$1.32M
202116,136$1.22M
202215,807$1.18M
202314,670$1.08M
2024incomplete10,762$817K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99490 Ccm add 20min 41% 17,561 16,015 $3.19M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 33% 28,148 19,341 $2.53M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 7.2% 4,502 4,087 $555K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3.9% 8,546 6,999 $303K
90853 Group psychotherapy (other than of a multiple-family group) 3.3% 4,488 1,631 $257K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.8% 5,672 4,669 $214K
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 2.3% 3,160 2,589 $181K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 2.1% 1,588 1,014 $160K
Q3014 Telehealth originating site facility fee 1.3% 5,851 4,975 $104K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.2% 1,986 1,627 $89K
T1016 Case management, each 15 minutes 1.0% 2,849 2,614 $79K
H0037 Community psychiatric supportive treatment program, per diem <1% 172 159 $26K
9 more codes
90792 Psychiatric diagnostic evaluation with medical services <1% 137 $24K
90839 <1% 15 $1K
80305 <1% 83 $821.45
G9008 Coordinated care fee, physician coordinated care oversight services <1% 10,335 $199.09
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 0% 1,815 $0.00
99439 0% 751 $0.00
H0038 Self-help/peer services, per 15 minutes 0% 150 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 0% 113 $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 0% 15 $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 officialOLTROGGE, MARCIA (EXECUTIVE DIRECTOR)