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
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
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 | 4,852 | $389K | |
| 2019 | 2,146 | $181K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.