PRAIRIE RIDGE INTEGRATED BEHAVIORAL HEALTHCARE
NPI: 1952443632
· MASON CITY, IA 50401
· 101YA0400X
$24.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28,798 |
$2.52M |
| 2019 |
31,030 |
$2.92M |
| 2020 |
34,821 |
$2.79M |
| 2021 |
40,680 |
$3.43M |
| 2022 |
43,984 |
$3.61M |
| 2023 |
48,271 |
$4.77M |
| 2024 |
33,068 |
$4.19M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Alcohol and/or drug services |
46,848 |
3,488 |
$8.29M |
| 99490 |
Ccm add 20min |
34,175 |
30,742 |
$5.35M |
| 90834 |
|
40,281 |
23,321 |
$3.62M |
| 90853 |
|
46,334 |
10,371 |
$2.54M |
| 99214 |
|
17,480 |
14,582 |
$1.05M |
| H0040 |
Assert comm tx pgm per diem |
14,945 |
777 |
$842K |
| 90791 |
|
6,351 |
6,128 |
$738K |
| 90792 |
|
3,327 |
3,111 |
$613K |
| Q3014 |
Telehealth facility fee |
14,602 |
12,870 |
$273K |
| 90832 |
|
5,390 |
4,226 |
$245K |
| 99213 |
|
5,351 |
4,333 |
$222K |
| 99204 |
|
1,241 |
1,151 |
$160K |
| 99215 |
Prolong outpt/office vis |
1,250 |
1,074 |
$136K |
| H0015 |
Alcohol and/or drug services |
607 |
115 |
$56K |
| 90837 |
|
518 |
404 |
$49K |
| 99205 |
Prolong outpt/office vis |
109 |
106 |
$20K |
| 96372 |
|
1,664 |
1,278 |
$5K |
| 99212 |
|
113 |
96 |
$4K |
| 99203 |
|
52 |
46 |
$4K |
| T1016 |
Case management |
430 |
320 |
$2K |
| 90847 |
|
16 |
12 |
$1K |
| 99308 |
|
39 |
34 |
$258.08 |
| 99439 |
|
2,204 |
2,108 |
$199.09 |
| G0506 |
Comp asses care plan ccm svc |
2,765 |
2,557 |
$57.34 |
| H0038 |
Self-help/peer svc per 15min |
5,221 |
4,737 |
$25.02 |
| S0281 |
Medical home, maintenance |
2,238 |
2,082 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
5,730 |
5,453 |
$0.00 |
| G2065 |
Clin mang h risk dx 30 |
318 |
310 |
$0.00 |
| G2058 |
Ccm add 20min |
343 |
280 |
$0.00 |
| 99426 |
|
710 |
658 |
$0.00 |