PRESSLEY RIDGE
NPI: 1114594751
· ONA, WV 25545
· Emotionally Disturbed Childrens' Residential Treatment Facility
· NPI assigned 06/10/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
$4.75M
Total Medicaid Paid
Provider Details
| Authorized Official | KOST, LORA (BILLING SUPERVISOR) |
| NPI Enumeration Date | 06/10/2021 |
Related Entities
Other providers sharing the same authorized official: KOST, LORA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
4,754 |
$1.32M |
| 2023 |
5,277 |
$2.07M |
| 2024 |
3,531 |
$1.36M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
12,988 |
455 |
$4.75M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
574 |
24 |
$0.00 |