Behavioral
Siouxland Mental Health Services, INC.
Siouxland Mental Health Services, INC. was paid $25.78M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99490, Ccm add 20min — 37% of everything it billed.
33Billing provider infoSIOUXLAND MENTAL HEALTH SERVICES, INC.
SIOUX CITY, IA 51101
SIOUX CITY, IA 51101
33aNPI1952529950assigned 04/23/2007
33bProvider typeMental Health Counselor
28Total paid$25.78M
24GClaims336,963
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Iowa
Rank by total paid#1 of 277
Median peer was paid$48K
This provider vs. median534×
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 | 34,639 | $2.93M | |
| 2019 | 33,456 | $3.11M | |
| 2020 | 41,317 | $3.29M | |
| 2021 | 57,269 | $3.85M | |
| 2022 | 57,877 | $4.34M | |
| 2023 | 56,900 | $4.37M | |
| 2024incomplete | 55,505 | $3.88M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99490 | Ccm add 20min | 37% | 64,630 | 62,695 | $9.60M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 27% | 78,572 | 44,056 | $7.00M |
| 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 | 13% | 45,142 | 40,690 | $3.26M |
| H0037 | Community psychiatric supportive treatment program, per diem | 10% | 16,246 | 15,553 | $2.67M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.5% | 4,804 | 4,531 | $911K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.1% | 15,320 | 10,743 | $793K |
| 96127 | 1.7% | 8,668 | 3,448 | $442K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.2% | 6,282 | 4,024 | $320K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 2,741 | 2,451 | $263K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,183 | 1,619 | $216K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | <1% | 1,005 | 150 | $109K |
| S0201 | Partial hospitalization services, less than 24 hours, per diem | <1% | 219 | 179 | $70K |
32 more codes
| H0038 | Self-help/peer services, per 15 minutes | <1% | 22,063 | $41K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 269 | $21K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 364 | $19K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 297 | $18K |
| S9485 | Crisis intervention mental health services, per diem | <1% | 41 | $12K |
| 90785 | <1% | 1,615 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 706 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 172 | $2K |
| 99439 | <1% | 7,017 | $514.51 | |
| 98968 | <1% | 313 | $347.24 | |
| 99443 | <1% | 32 | $271.51 | |
| 99442 | <1% | 28 | $193.60 | |
| 98967 | <1% | 84 | $60.77 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 2,269 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 35,432 | $0.00 |
| 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% | 12,918 | $0.00 |
| 99426 | 0% | 989 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 751 | $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% | 323 | $0.00 |
| 1036F | 0% | 195 | $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% | 2,137 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 154 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,070 | $0.00 |
| 4004F | 0% | 83 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 548 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 764 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 181 | $0.00 |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 0% | 117 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 165 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 15 | $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 officialMARTIN, SHEILA (EXECUTIVE DIRECTOR)