Behavioral
Iris Health Clinic
Iris Health Clinic was paid $733K by Medicaid between Nov 2018 and Nov 2024, across 5 billing codes. Its largest line is H2012, Behavioral health day treatment, per hour — 74% of everything it billed.
33Billing provider infoIRIS HEALTH CLINIC
WAUKESHA, WI 53186
WAUKESHA, WI 53186
33aNPI1942735766assigned 04/30/2017
33bProvider typeCounselor
28Total paid$733K
24GClaims18,814
24DCodes billed5
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Counselor providers in Wisconsin
Rank by total paid#6 of 59
Median peer was paid$7K
This provider vs. median104×
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 | 296 | $13K | |
| 2019 | 3,446 | $178K | |
| 2020 | 4,951 | $257K | |
| 2021 | 4,024 | $129K | |
| 2022 | 1,799 | $16K | |
| 2023 | 1,800 | $51K | |
| 2024incomplete | 2,498 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2012 | Behavioral health day treatment, per hour | 74% | 13,129 | 873 | $539K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 16% | 3,447 | 715 | $119K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.4% | 1,225 | 419 | $69K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 915 | 112 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 98 | 58 | $3K |
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 officialBRUNZELLE, PETER (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Iris Health Clinic | Brodhead, WI | $4.27M |
| Iris Health Clinic LLC | Brookfield, WI | $1.03M |
| Sals Recovery Center LLC | Waukesha, WI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.