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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWaubonsie Mental Health Center Inc
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    Waubonsie Mental Health Center Inc — Billing Profile & Reimbursement Data

    NPI 1376698837 · Clarinda, IA · Community/Behavioral Health Agency

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    Waubonsie Mental Health Center Inc is a community/behavioral health agency provider located in Clarinda, Iowa. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWaubonsie Mental Health Center Inc
    Address216 W Division St
    CityClarinda
    StateIA
    ZIP51632
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJanuary 24, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…19,040$120$2.3M
    H0037Community psychiatric supportive treatment program, per diem4,730$300$1.4M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…8,680$70$590.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…14,270$40$584.9K
    S9485Crisis intervention mental health services, per diem1,950$240$472.6K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…11,590$30$382.3K
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)5,410$60$319.1K
    H0038Self‑help/peer services, per 15 minutes2,900$90$257.8K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…1,900$90$176.5K
    S9484Crisis intervention mental health services, per hour1,480$110$162.7K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem16418010,790$390$15.2M
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…246016,120$150$3.8M
    H0037Community psychiatric supportive treatment program, per diem6301,050$210$800.8K
    S9485Crisis intervention mental health services, per diem410470$370$572.7K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…80680670$70$343.5K
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)310880$80$329.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…591,060480$40$154.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2561,310760$20$153.1K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…48140210$120$152.1K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…146610550$70$145.9K

    Showing 1–10 of 24

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Waubonsie Mental Health Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephanie GrayIAPsychiatric/Mental Health Nurse Practitioner$41.2K$0
    Denise CrossonVAPsychiatric/Mental Health Nurse Practitioner$33K$0

    Nearby Providers

    Other providers in the same ZIP code as Waubonsie Mental Health Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anchor Homes, IncIAMental Illness Community Based Residential Treatment Facility$0$13.4M
    Clarinda Youth CorporationIAEmotionally Disturbed Childrens' Residential Treatment Facility$0$2.1M
    Clarinda Regional Health CenterIAFamily Medicine Physician$0$1.8M
    Clarinda Regional Health CenterIACritical Access Hospital$0$1.7M
    Southwest Iowa Families IncIAMental Health Clinic/Center (Including Community Mental Health Center)$0$1.2M
    Air Evac Ems, Inc.IAAir Ambulance$277.3K$0
    Hy-vee IncIACommunity/Retail Pharmacy$134.6K$39.2K
    Brian RarickIAPodiatrist$84.9K$23.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Waubonsie Mental Health Center Inc — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa