Hillcrest Family Services

Hillcrest Family Services was paid $7.13M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99490, Ccm add 20min — 100% of everything it billed.

33Billing provider infoHILLCREST FAMILY SERVICES
DUBUQUE, IA 52001

33aNPI1942361084assigned 12/13/2006

33bProvider typeSocial Worker

28Total paid$7.13M

24GClaims102,381

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Social Worker providers in Iowa

Rank by total paid#4 of 83

Median peer was paid$49K

This provider vs. median145×

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	592	$99K
2019	26	$625.91
2020	18,854	$1.42M
2021	26,414	$1.56M
2022	23,614	$1.62M
2023	20,005	$1.43M
2024incomplete	12,876	$983K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99490	Ccm add 20min	100%	41,556	41,010	$7.13M
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	0%	5,356	4,376	$0.00
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	0%	1,054	892	$0.00
G9008	Coordinated care fee, physician coordinated care oversight services	0%	41,331	31,942	$0.00
H0038	Self-help/peer services, per 15 minutes	0%	11,700	10,376	$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%	551	537	$0.00
99439		0%	688	671	$0.00
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	0%	145	121	$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 officialBURGMEIER, TERESA (OFFICE MANAGER)