Behavioral
Southern Highlands Community Mental Health Center, INC.
Southern Highlands Community Mental Health Center, INC. was paid $1.52M by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is H0031, Mental health assessment, by non-physician — 33% of everything it billed.
33Billing provider infoSOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC.
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1235409590assigned 01/04/2012
33bProvider typeClinical Social Worker
28Total paid$1.52M
24GClaims36,352
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Clinical Social Worker providers in West Virginia
Rank by total paid#4 of 35
Median peer was paid$97K
This provider vs. median16×
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 | 7,021 | $285K | |
| 2019 | 5,391 | $225K | |
| 2020 | 5,124 | $194K | |
| 2021 | 4,241 | $162K | |
| 2022 | 5,185 | $237K | |
| 2023 | 5,802 | $260K | |
| 2024incomplete | 3,588 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0031 | Mental health assessment, by non-physician | 33% | 4,152 | 3,560 | $494K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 22% | 5,800 | 2,467 | $326K |
| 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 | 18% | 9,967 | 6,932 | $277K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 11,307 | 6,938 | $216K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 3.8% | 199 | 41 | $58K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.5% | 890 | 668 | $54K |
| Q3014 | Telehealth originating site facility fee | 2.8% | 2,611 | 1,998 | $42K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 2.3% | 797 | 646 | $35K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 383 | 95 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 246 | 161 | $2K |
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 officialAKERS, JUDY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Southern Highlands Community Mental Health Center, INC. | Princeton, WV | $44.25M |
| Southern Highlands Community Mental Health Center, INC. | Princeton, WV | $22.01M |
| Della Lamb Community Services | Kansas City, MO | $1.71M |
| Southern Highlands Community Mental Health Center, INC. | Princeton, WV | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.