Agency
Zumbro Valley Health Center
Zumbro Valley Health Center was paid $36.12M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is T2023, Targeted case management; per month — 40% of everything it billed.
33Billing provider infoZUMBRO VALLEY HEALTH CENTER
ROCHESTER, MN 55904
ROCHESTER, MN 55904
33aNPI1801961263assigned 11/21/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$36.12M
24GClaims248,267
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Minnesota
Rank by total paid#4 of 312
Median peer was paid$741K
This provider vs. median49×
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 | 28,273 | $1.71M | |
| 2019 | 33,089 | $4.37M | |
| 2020 | 40,803 | $5.08M | |
| 2021 | 39,048 | $4.97M | |
| 2022 | 37,345 | $5.58M | |
| 2023 | 40,295 | $9.64M | |
| 2024incomplete | 29,414 | $4.77M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 40% | 30,638 | 30,106 | $14.42M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 10% | 45,835 | 17,145 | $3.79M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.3% | 37,770 | 24,023 | $3.37M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.9% | 17,466 | 11,731 | $2.85M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 7.4% | 4,499 | 219 | $2.67M |
| H2035 | Alcohol and/or other drug treatment program, per hour | 6.9% | 29,155 | 6,208 | $2.50M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.0% | 8,395 | 8,085 | $1.10M |
| H0032 | Mental health service plan development by non-physician | 2.7% | 10,360 | 8,251 | $982K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.2% | 8,410 | 5,820 | $802K |
| 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 | 2.1% | 10,038 | 9,220 | $775K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1.6% | 2,590 | 2,569 | $588K |
| H0038 | Self-help/peer services, per 15 minutes | 1.1% | 4,182 | 1,600 | $403K |
20 more codes
| H0031 | Mental health assessment, by non-physician | <1% | 3,152 | $319K |
| H2014 | Skills training and development, per 15 minutes | <1% | 3,494 | $265K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 5,670 | $261K |
| H0001 | Alcohol and/or drug assessment | <1% | 1,455 | $249K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 590 | $174K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,116 | $138K |
| H0046 | Mental health services, not otherwise specified | <1% | 12,929 | $137K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 739 | $127K |
| S9484 | Crisis intervention mental health services, per hour | <1% | 188 | $53K |
| 90899 | <1% | 1,739 | $48K | |
| 90785 | <1% | 3,427 | $44K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,551 | $27K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 228 | $13K |
| 90882 | <1% | 235 | $12K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 330 | $3K |
| 99443 | <1% | 47 | $3K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 15 | $2K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 14 | $608.97 |
| 36415 | Collection of venous blood by venipuncture | <1% | 39 | $123.78 |
| H0043 | Supported housing, per diem | 0% | 1,971 | $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 officialLEE, TRACY (CHIEF OPERATING OFF)