Behavioral
Illume Wellness Group
Illume Wellness Group was paid $487K by Medicaid between Jan 2022 and Dec 2024, across 8 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 87% of everything it billed.
33Billing provider infoILLUME WELLNESS GROUP
STURGIS, MI 49091
STURGIS, MI 49091
33aNPI1942978572assigned 08/30/2021
33bProvider typeMental Health Counselor
28Total paid$487K
24GClaims6,320
24DCodes billed8
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Michigan
Rank by total paid#52 of 199
Median peer was paid$96K
This provider vs. median5.1×
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
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 | |
|---|---|---|---|
| 2022 | 1,673 | $136K | |
| 2023 | 2,018 | $145K | |
| 2024incomplete | 2,629 | $206K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 87% | 5,549 | 2,648 | $425K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 9.3% | 392 | 373 | $45K |
| 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 | 1.6% | 172 | 134 | $8K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 96 | 61 | $5K |
| 96130 | <1% | 30 | 12 | $2K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 38 | 28 | $1K |
| 96131 | <1% | 14 | 13 | $525.60 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 29 | 25 | $338.76 |
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 officialMERCHANT, NICOLE (OWNER/PARTNER)