Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Nextstep Counseling Services, LLC

Nextstep Counseling Services, LLC was paid $9.33M by Medicaid between Aug 2021 and Dec 2024, across 18 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 52% of everything it billed.

33Billing provider infoNEXTSTEP COUNSELING SERVICES, LLC
PARAGOULD, AR 72450
33aNPI1801488317assigned 02/05/2021
28Total paid$9.33M
24GClaims149,464
24DCodes billed18
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers

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

Rank by total paid#10 of 67
Median peer was paid$426K
This provider vs. median22×

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$200K$400K$600K2018201920202021202220232024
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
202115,401$595K
202245,419$2.71M
202341,662$2.78M
2024incomplete46,982$3.24M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 52% 59,808 21,454 $4.85M
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 25% 36,639 12,436 $2.33M
90853 Group psychotherapy (other than of a multiple-family group) 12% 33,909 10,887 $1.13M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.1% 3,333 1,913 $194K
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 2.1% 3,988 1,641 $192K
90846 Family psychotherapy without the patient present, 50 minutes 1.5% 2,297 1,686 $139K
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 1.4% 2,386 2,196 $130K
90792 Psychiatric diagnostic evaluation with medical services 1.3% 1,242 1,100 $123K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 961 712 $80K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 1,434 783 $59K
90885 <1% 1,102 1,000 $39K
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes <1% 665 150 $24K
6 more codes
90847 Family psychotherapy with the patient present, 50 minutes <1% 245 $16K
99213 Doctor's office visit, returning patient (routine) <1% 289 $11K
90887 <1% 569 $10K
90849 <1% 51 $4K
H2027 Psychoeducational service, per 15 minutes <1% 21 $747.04
S0220 Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes 0% 525 $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 officialMCQUAY, HEATHER (DIRECTOR OF ACCOUNTS)