Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Pressley Ridge

Pressley Ridge was paid $4.75M by Medicaid between Feb 2022 and Nov 2024, across 2 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 100% of everything it billed.

33Billing provider infoPRESSLEY RIDGE
ONA, WV 25545
33aNPI1114594751assigned 06/10/2021
28Total paid$4.75M
24GClaims13,562
24DCodes billed2
24AFirst – last monthFeb 2022 – Nov 2024
Compared with peers

Next to other Emotionally Disturbed Childrens' Residential Treatment Facility providers in West Virginia

Rank by total paid#6 of 28
Median peer was paid$1.46M
This provider vs. median3.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20224,754$1.32M
20235,277$2.07M
2024incomplete3,531$1.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 100% 12,988 455 $4.75M
H0004 Behavioral health counseling and therapy, per 15 minutes 0% 574 24 $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 officialKOST, LORA (BILLING SUPERVISOR)
Same official

Other billing entities under KOST, LORA

Full network →
ProviderLocationPaid
Pressley RidgeBeaver Falls, PA$227K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.