Behavioral
Simms Integrative Health Services INC
Simms Integrative Health Services INC was paid $1.01M by Medicaid between Jan 2018 and Oct 2023, across 5 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 77% of everything it billed.
33Billing provider infoSIMMS INTEGRATIVE HEALTH SERVICES INC
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
33aNPI1124579339assigned 10/24/2016
33bProvider typeClinical Social Worker
28Total paid$1.01M
24GClaims13,001
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Clinical Social Worker providers in West Virginia
Rank by total paid#6 of 35
Median peer was paid$97K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2018 | 1,460 | $122K | |
| 2019 | 1,449 | $110K | |
| 2020 | 3,085 | $252K | |
| 2021 | 2,251 | $184K | |
| 2022 | 2,771 | $220K | |
| 2023 | 1,985 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 77% | 9,281 | 4,185 | $781K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 14% | 2,405 | 1,312 | $137K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.9% | 522 | 475 | $50K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.9% | 614 | 391 | $29K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.3% | 179 | 112 | $13K |
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 officialSIMMS, MEGAN (OWNER)