Agency
Mountain Care Network
Mountain Care Network was paid $2.93M by Medicaid between May 2020 and Dec 2024, across 11 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 74% of everything it billed.
33Billing provider infoMOUNTAIN CARE NETWORK
CHARLESTON, WV 25301
CHARLESTON, WV 25301
33aNPI1053962241assigned 09/27/2019
33bProvider typeCase Management Agency
28Total paid$2.93M
24GClaims29,357
24DCodes billed11
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in West Virginia
Rank by total paid#11 of 72
Median peer was paid$365K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2020 | 781 | $72K | |
| 2021 | 3,669 | $407K | |
| 2022 | 12,331 | $1.27M | |
| 2023 | 4,226 | $491K | |
| 2024incomplete | 8,350 | $688K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 74% | 19,702 | 4,284 | $2.18M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 18% | 6,765 | 2,564 | $516K |
| H0031 | Mental health assessment, by non-physician | 2.8% | 440 | 345 | $83K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 2.8% | 1,298 | 588 | $82K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 272 | 256 | $29K |
| H2014 | Skills training and development, per 15 minutes | <1% | 454 | 79 | $16K |
| 99354 | <1% | 182 | 110 | $13K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 108 | 90 | $6K |
| T1016 | Case management, each 15 minutes | <1% | 79 | 25 | $4K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 39 | 33 | $3K |
| H0032 | Mental health service plan development by non-physician | <1% | 18 | 17 | $377.64 |
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 officialPRICE, CRYSTAL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mountain Care Network | Charleston, WV | $2.56M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.