Behavioral
Sequoia Integrative Medical Services LLC
Sequoia Integrative Medical Services LLC was paid $864K by Medicaid between May 2020 and Dec 2024, across 31 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 31% of everything it billed.
33Billing provider infoSEQUOIA INTEGRATIVE MEDICAL SERVICES LLC
KAUKAUNA, WI 54130
KAUKAUNA, WI 54130
33aNPI1790312171assigned 03/25/2020
33bProvider typeSocial Worker
28Total paid$864K
24GClaims37,367
24DCodes billed31
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Social Worker providers in Wisconsin
Rank by total paid#7 of 67
Median peer was paid$8K
This provider vs. median107×
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 | |
|---|---|---|---|
| 2020 | 2,521 | $57K | |
| 2021 | 3,265 | $95K | |
| 2022 | 7,454 | $170K | |
| 2023 | 11,968 | $261K | |
| 2024incomplete | 12,159 | $282K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 31% | 6,714 | 5,187 | $264K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 10,888 | 6,333 | $172K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 6,347 | 3,423 | $155K |
| 99350 | Prolong home eval add 15m | 13% | 2,695 | 2,404 | $110K |
| 99487 | Ccm add 20min | 4.7% | 2,363 | 1,987 | $40K |
| 99337 | 3.3% | 1,060 | 927 | $28K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.2% | 457 | 368 | $19K |
| 99489 | Ccm add 20min | 2.1% | 2,139 | 1,809 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 858 | 652 | $15K |
| 99349 | 1.0% | 302 | 275 | $9K | |
| 99457 | <1% | 581 | 500 | $5K | |
| 99458 | <1% | 438 | 385 | $5K |
19 more codes
| 99442 | <1% | 865 | $5K | |
| 99483 | Prolong outpt/office vis | <1% | 129 | $3K |
| 99336 | <1% | 162 | $3K | |
| 99348 | <1% | 77 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 146 | $2K |
| 99454 | <1% | 251 | $2K | |
| 99328 | <1% | 37 | $2K | |
| 99491 | Ccm add 20min | <1% | 125 | $1K |
| 99221 | <1% | 39 | $1K | |
| 99345 | Prolong home eval add 15m | <1% | 14 | $794.61 |
| 99423 | <1% | 57 | $639.38 | |
| 99422 | <1% | 130 | $613.29 | |
| 99335 | <1% | 29 | $293.50 | |
| 99421 | <1% | 88 | $255.15 | |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) | <1% | 29 | $136.93 |
| 99401 | <1% | 16 | $90.00 | |
| 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% | 91 | $0.00 |
| 99406 | 0% | 205 | $0.00 | |
| 99439 | 0% | 35 | $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 officialFRIESS, MARY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sequoia Health Services Bettendorf, LLC | Bettendorf, IA | $380K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.