Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

SIOUXLAND MENTAL HEALTH SERVICES, INC.

Community/Behavioral Health·SIOUX CITY, IA·NPI: 1952529950Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.8M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.8M

$25,778,376

Total Claims

337K

Beneficiaries

278K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+6%
2019
$3.1M
+6%
2020
$3.3M
+17%
2021
$3.9M
+13%
2022
$4.3M
+1%
2023
$4.4M
-11%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 44 distinct procedure codes. The top code (99490 (Chronic care management services, 20 minutes per month)) accounts for 37% of total spending.

99490Top 1%

Chronic care management services, 20 minutes per month

$9.6M

65K claims · 37.2%

Your Cost: $148.48/claim|Median: $6.31
23.5× median
90834Top 25%

Psychotherapy, 45 minutes

$7.0M

79K claims · 27.2%

Your Cost: $89.08/claim|Median: $63.65
1.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$3.3M

45K claims · 12.7%

Your Cost: $72.31/claim|Median: $53.41
1.4× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$2.7M

16K claims · 10.3%

Your Cost: $164.20/claim|Median: $225.50
0.7× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$911K

4,804 claims · 3.5%

Your Cost: $189.63/claim|Median: $108.91
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$793K

15K claims · 3.1%

Your Cost: $51.76/claim|Median: $41.28
1.3× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$442K

8,668 claims · 1.7%

Your Cost: $50.96/claim|Median: $3.67
13.9× median
90853Top 25%

Group psychotherapy

$320K

6,282 claims · 1.2%

Your Cost: $50.87/claim|Median: $25.02
2.0× median
99215Normal range

Office/outpatient visit, high complexity

$263K

2,741 claims · 1.0%

Your Cost: $96.07/claim|Median: $74.09
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$216K

2,183 claims · 0.8%

Your Cost: $98.98/claim|Median: $85.66
1.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$109K

1,005 claims · 0.4%

Your Cost: $108.63/claim|Median: $91.63
1.2× median
S0201Normal range

Partial hospitalization services, per diem

$70K

219 claims · 0.3%

Your Cost: $321.46/claim|Median: $445.16
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$41K

22K claims · 0.2%

Your Cost: $1.86/claim|Median: $55.04
0.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$21K

269 claims · 0.1%

Your Cost: $79.51/claim|Median: $77.33
1.0× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$19K

364 claims · 0.1%

Your Cost: $51.02/claim|Median: $38.83
1.3× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$18K

297 claims · 0.1%

Your Cost: $59.29/claim|Median: $37.81
1.6× median
S9485Normal range

Crisis intervention mental health services, per diem

$12K

41 claims · 0.0%

Your Cost: $289.91/claim|Median: $501.33
0.6× median
90785Normal range

$6K

1,615 claims · 0.0%

Your Cost: $3.51/claim|Median: $6.43
0.5× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$5K

27 claims · 0.0%

Your Cost: $174.44/claim|Median: $84.03
2.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3K

706 claims · 0.0%

Your Cost: $3.90/claim|Median: $9.56
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

172 claims · 0.0%

Your Cost: $11.74/claim|Median: $12.93
0.9× median
99439Normal range

$515

7,017 claims · 0.0%

Your Cost: $0.07/claim|Median: $5.83
0.0× median
98968Normal range

$347

313 claims · 0.0%

Your Cost: $1.11/claim|Median: $28.39
0.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$272

32 claims · 0.0%

Your Cost: $8.48/claim|Median: $32.55
0.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$194

28 claims · 0.0%

Your Cost: $6.91/claim|Median: $22.44
0.3× median
98967Normal range

$61

84 claims · 0.0%

Your Cost: $0.72/claim|Median: $18.97
0.0× median
4004FNormal range

$0

83 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G2065Normal range

$0

323 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.39
G8734Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
S0281Normal range

$0

2,269 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.97
G0506Normal range

Comprehensive assessment of chronic care management

$0

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $7.41
G8431Normal range

$0

181 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37
99426Normal range

$0

989 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
J2426Normal range

$0

117 claims · 0.0%

Your Cost: $0.00/claim|Median: $625.59
1036FNormal range

$0

195 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G8752Normal range

$0

764 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G8417Normal range

$0

548 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
G8427Normal range

$0

1,070 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G2058Normal range

$0

2,137 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.40
G8510Normal range

$0

154 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
G9008Normal range

Coordination of long-term care services, per month

$0

35K claims · 0.0%

Your Cost: $0.00/claim|Median: $66.78
G8754Normal range

$0

751 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G9744Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
G8783Normal range

$0

165 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04

Other Top Providers in Iowa

View all →

Purfoods LLC

Home Delivered Meals

$910.6M

Systems Unlimited Inc.

Day Training Developmentally Disabled Services

$244.8M

Dac, INC

Community/Behavioral Health

$189.7M

Mosaic

Community Based Residential Treatment Facility In

$177.4M

Rescare, INC

Community/Behavioral Health

$171.0M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providersAll providers in Iowa →How we detect fraud →