COLLEEN MICHELE GROTE, LMHC
NPI 1386013753, individual, Waterloo, IA, Counselor, Mental Health
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 24.5 | 24.0 | 16.0 | 21.5 | 316 | 1 | 90791 90832 90834 90837 | $67K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | COLLEEN MICHELE GROTE, LMHC |
| Type | Individual |
| Status | Active |
| NPI issued | September 16, 2015, last updated September 16, 2015 |
| Practice location | 904 W 4TH ST, Waterloo, IA 50702-2802, 319-233-3579 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license 078519 IA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $662K | 46% | $173 | $101 (top 5% from $318) | 79th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $534K | 37% | $192 | $191 (top 5% from $442) | 50th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $205K | 14% | $111 | $105 (top 5% from $228) | 58th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $24K | 2% | $110 | $130 (top 5% from $458) | 39th percentile | |
| 90832 | Psychotherapy, 30 minutes | $20K | 1% | $64 | $59 (top 5% from $239) | 55th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $5K | 0% | $7.65 | $15 (top 5% from $35) | 26th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $4K | 0% | $78 | $60 (top 5% from $332) | too few months to rank |
In this area
30 providers in IA carry an indicator in the public record, with $15.2M at stake between them. The most common is part of a provider network, on 20 of them, followed by more hours than a day holds on 6. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PATRICK CHAU Sioux City, IA, ranked 4 | $489K |
|
| 1 | RICHARD GODDARD Fort Madison, IA, ranked 378 | $1K |
|
| 3 | NEW CHOICES LLC Bettendorf, IA, ranked 1113 | $623K |
|
| 3 | FREEDOM HOME HEALTH CARE, INC. Ankeny, IA, ranked 1141 | $519K |
|
| 3 | AMY HECHT Sioux City, IA, ranked 1765 | $0 |
|
| 3 | NEWTON VILLAGE, INC. Newton, IA, ranked 1820 | $0 |
|
| 3 | CCRC OF WEST DES MOINES, LLC West Des Moines, IA, ranked 2057 | $0 |
|
| 3 | RIVERVIEW SNF OPERATOR LLC Pleasant Valley, IA, ranked 2569 | $0 |
|
Recent enforcement in IA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.