Clinic
Appalachian Community Health Center
Appalachian Community Health Center was paid $326K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 28% of everything it billed.
33Billing provider infoAPPALACHIAN COMMUNITY HEALTH CENTER
ELKINS, WV 26241
ELKINS, WV 26241
33aNPI1174681365assigned 12/04/2006
28Total paid$326K
24GClaims7,683
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in West Virginia
Rank by total paid#17 of 27
Median peer was paid$583K
This provider vs. median0.6×
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 | 1,456 | $95K | |
| 2019 | 1,570 | $86K | |
| 2020 | 1,373 | $44K | |
| 2021 | 1,605 | $55K | |
| 2022 | 745 | $20K | |
| 2023 | 602 | $18K | |
| 2024incomplete | 332 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 28% | 665 | 244 | $90K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 26% | 1,769 | 1,165 | $86K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,814 | 2,570 | $75K |
| H0031 | Mental health assessment, by non-physician | 11% | 327 | 311 | $37K |
| Q3014 | Telehealth originating site facility fee | 9.2% | 1,780 | 1,536 | $30K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.0% | 224 | 173 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 76 | 67 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 16 | 12 | $399.59 |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 12 | 12 | $202.30 |
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 officialKILEY, RICHARD (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Appalachian Community Health Center | Elkins, WV | $8.58M |
| Appalachian Community Health Center | Elkins, WV | $3.41M |
| Appalachian Community Health Center | Elkins, WV | $556.14 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.