Clinic
Shawnee Mental Health Center, INC.
Shawnee Mental Health Center, INC. was paid $3.35M by Medicaid between May 2019 and Dec 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoSHAWNEE MENTAL HEALTH CENTER, INC.
COAL GROVE, OH 45638
COAL GROVE, OH 45638
33aNPI1225508195assigned 12/04/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.35M
24GClaims79,559
24DCodes billed16
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#100 of 348
Median peer was paid$1.33M
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2019 | 11,341 | $260K | |
| 2020 | 12,797 | $484K | |
| 2021 | 12,852 | $559K | |
| 2022 | 17,157 | $760K | |
| 2023 | 16,458 | $823K | |
| 2024incomplete | 8,954 | $459K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 60% | 27,980 | 16,714 | $2.02M |
| 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 | 13% | 11,310 | 6,306 | $434K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 12,591 | 7,036 | $285K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.4% | 11,467 | 3,852 | $248K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.9% | 4,501 | 1,474 | $164K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.7% | 4,093 | 2,594 | $90K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 389 | 219 | $18K |
| 90785 | <1% | 3,564 | 1,203 | $18K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 1,219 | 1,127 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 813 | 477 | $12K |
| 99354 | <1% | 247 | 119 | $10K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 369 | 168 | $10K |
4 more codes
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 officialHOLSTEIN, CYNTHIA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Shawnee Mental Health Center, INC. | Portsmouth, OH | $14.12M |
| Shawnee Mental Health Center, INC. | Portsmouth, OH | $8.14M |
| Shawnee Mental Health Center, INC. | West Union, OH | $2.31M |
| Shawnee Mental Health Center, INC | Portsmouth, OH | $165K |
| Shawnee Mental Health Center INC | Portsmouth, OH | $36K |
| Shawnee Mental Health Center INC | West Union, OH | $26K |
| Shawnee Mental Health Center, INC. | Portsmouth, OH | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.