Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Next Step Counselling Services

Next Step Counselling Services was paid $11.43M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 74% of everything it billed.

33Billing provider infoNEXT STEP COUNSELLING SERVICES
CUMMING, IA 50061
33aNPI1811028137assigned 03/08/2007
28Total paid$11.43M
24GClaims126,354
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Iowa

Rank by total paid#30 of 134
Median peer was paid$2.44M
This provider vs. median4.7×

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$100K$200K$300K2018201920202021202220232024
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
201823,796$2.09M
201920,043$1.73M
202017,501$1.50M
202116,373$1.39M
202216,783$1.51M
202316,785$1.65M
2024incomplete15,073$1.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 74% 81,881 8,563 $8.46M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 13% 20,279 8,133 $1.43M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 5.5% 13,237 6,417 $631K
H0046 Mental health services, not otherwise specified 2.5% 2,745 1,141 $288K
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 2.5% 3,210 579 $285K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.0% 1,130 1,101 $115K
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,296 887 $91K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 1,639 710 $85K
90853 Group psychotherapy (other than of a multiple-family group) <1% 937 394 $41K

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 officialKOCH, MICHAEL (DIRECTOR)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.