Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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North Central Iowa Mental Health Center INC

North Central Iowa Mental Health Center INC was paid $15.30M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99490, Ccm add 20min — 37% of everything it billed.

33Billing provider infoNORTH CENTRAL IOWA MENTAL HEALTH CENTER INC
FORT DODGE, IA 50501
33aNPI1922188606assigned 10/16/2006
28Total paid$15.30M
24GClaims267,681
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

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

Rank by total paid#6 of 40
Median peer was paid$289K
This provider vs. median53×

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
201834,409$2.10M
201935,020$2.05M
202037,227$2.28M
202148,990$2.47M
202245,602$2.46M
202340,688$2.35M
2024incomplete25,745$1.60M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99490 Ccm add 20min 37% 43,273 41,540 $5.62M
H0040 Assertive community treatment program, per diem 19% 52,350 2,553 $2.85M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 16% 32,271 19,719 $2.37M
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 7.9% 22,200 20,260 $1.21M
H0037 Community psychiatric supportive treatment program, per diem 4.3% 3,191 3,052 $657K
90792 Psychiatric diagnostic evaluation with medical services 4.2% 4,377 4,102 $643K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.0% 14,418 13,554 $613K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.9% 3,679 3,524 $437K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.9% 6,929 4,788 $284K
Q3014 Telehealth originating site facility fee 1.5% 11,583 10,846 $225K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.0% 2,006 1,452 $154K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 21,792 21,458 $99K
22 more codes
99215 Doctor's office visit, returning patient (complex) <1% 867 $71K
90853 Group psychotherapy (other than of a multiple-family group) <1% 654 $21K
H0038 Self-help/peer services, per 15 minutes <1% 6,058 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 223 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,620 $6K
90839 <1% 70 $6K
99308 Subsequent nursing facility care, per day, straightforward <1% 315 $4K
96127 <1% 72 $3K
99204 Doctor's office visit, new patient (more involved) <1% 35 $3K
T1016 Case management, each 15 minutes <1% 108 $2K
99205 Prolong outpt/office vis <1% 12 $2K
36415 Collection of venous blood by venipuncture <1% 977 $2K
99443 <1% 237 $1K
99442 <1% 141 $903.03
80305 <1% 120 $853.91
G2065 Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities <1% 877 $84.30
G9008 Coordinated care fee, physician coordinated care oversight services 0% 25,219 $0.00
99439 0% 11,177 $0.00
99426 0% 360 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 0% 113 $0.00
3074F 0% 12 $0.00
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 0% 345 $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 officialPULLEN, JENNIFER (EXECUTIVE DIRECTOR)
Parent organizationTRINITY HEALTH SYSTEMS, INC