Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IA › Sioux City › NPI 1750513727
Behavioral

Wagner, Kelly

Wagner, Kelly was paid $570K by Medicaid between Jan 2018 and Jun 2019, across 3 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoWAGNER, KELLY
SIOUX CITY, IA 51106
33aNPI1750513727assigned 08/10/2009
33bProvider typeMental Health Counselor
28Total paid$570K
24GClaims6,998
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers

Next to other Mental Health Counselor providers in Iowa

Rank by total paid#28 of 277
Median peer was paid$48K
This provider vs. median12×

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$20K$40K2018201920202021202220232024
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
20184,852$389K
20192,146$181K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 99% 6,952 1,018 $566K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 33 12 $2K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 13 13 $1K

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.