Clinic
Shadow Mountain Behavioral Health System, LLC
Shadow Mountain Behavioral Health System, LLC was paid $125K by Medicaid between Jan 2018 and Jun 2018, across 10 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 81% of everything it billed.
33Billing provider infoSHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
TULSA, OK 74133
TULSA, OK 74133
33aNPI1740384049assigned 09/08/2006
28Total paid$125K
24GClaims1,928
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Oklahoma
Rank by total paid#127 of 150
Median peer was paid$936K
This provider vs. median0.1×
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 | 1,928 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 81% | 1,601 | 666 | $101K |
| 99223 | Prolong inpt eval add15 m | 6.9% | 69 | 66 | $9K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.0% | 60 | 56 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 50 | 43 | $3K |
| H0032 | Mental health service plan development by non-physician | 2.0% | 37 | 37 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 18 | 18 | $2K |
| 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 | 1.3% | 21 | 20 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 26 | 14 | $1K |
| 99221 | <1% | 12 | 12 | $1K | |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 34 | 34 | $662.97 |
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 officialWORSHAM, SHARON (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Shadow Mountain Behavioral Health System, LLC | Tulsa, OK | $359K |
| Shadow Mountain Behavioral Health System, LLC | Tulsa, OK | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.