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

Ryan Smith Counseling Services, LLC

Ryan Smith Counseling Services, LLC was paid $460K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 64% of everything it billed.

33Billing provider infoRYAN SMITH COUNSELING SERVICES, LLC
KEARNEY, NE 68847
33aNPI1912323221assigned 03/11/2014
28Total paid$460K
24GClaims6,032
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Nebraska

Rank by total paid#18 of 77
Median peer was paid$111K
This provider vs. median4.1×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,058$63K
20191,538$87K
2020883$59K
2021629$49K
2022478$52K
2023689$82K
2024incomplete757$69K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 64% 2,982 1,610 $293K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 21% 1,511 622 $97K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 8.1% 811 618 $37K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.1% 728 564 $33K

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 officialSMITH, RYAN (OWNER)
Same official

Other billing entities under SMITH, RYAN

Full network →
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Goodwill Indrustries of the Chesapeake, INCWestminster, MD$0.00

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