NPI: 1225441165 · MABEN, WV 25870 · Community/Behavioral Health Agency · NPI assigned 06/09/2014
| Authorized Official | SMITH, EARL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/09/2014 |
Other providers sharing the same authorized official: SMITH, EARL
| Provider | City | State | Total Paid |
|---|---|---|---|
| INTEGRATED RESOURCES, INC. | MABEN | WV | $3.78M |
| MOUNTAINHEART COMMUNITY SERVICES, INC | KOPPERSTON | WV | $1.23M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 113 | $8K |
| 2021 | 126 | $19K |
| 2022 | 96 | $19K |
| 2023 | 192 | $38K |
| 2024 | 343 | $101K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G9002 | Coordinated care fee, maintenance rate | 578 | 577 | $116K |
| T2021 | Day habilitation, waiver; per 15 minutes | 91 | 27 | $54K |
| T1016 | Case management, each 15 minutes | 157 | 135 | $11K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 44 | 25 | $5K |