Agency
Seneca Health Services INC
Seneca Health Services INC was paid $2.76M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 37% of everything it billed.
33Billing provider infoSENECA HEALTH SERVICES INC
MAXWELTON, WV 24957
MAXWELTON, WV 24957
33aNPI1245441609assigned 05/25/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$2.76M
24GClaims34,763
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#38 of 93
Median peer was paid$1.97M
This provider vs. median1.4×
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 | 5,702 | $339K | |
| 2019 | 5,843 | $411K | |
| 2020 | 4,009 | $289K | |
| 2021 | 3,239 | $178K | |
| 2022 | 3,313 | $205K | |
| 2023 | 3,292 | $198K | |
| 2024incomplete | 9,365 | $1.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 37% | 3,472 | 2,646 | $1.01M |
| H0031 | Mental health assessment, by non-physician | 22% | 4,384 | 4,292 | $605K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 18% | 9,674 | 5,837 | $506K |
| 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% | 14,903 | 13,446 | $375K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 7.7% | 663 | 121 | $212K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 319 | 308 | $23K |
| 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% | 278 | 268 | $14K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 155 | 45 | $5K |
| Q3014 | Telehealth originating site facility fee | <1% | 131 | 121 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 175 | 146 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 61 | 59 | $2K |
| 80305 | <1% | 400 | 294 | $2K |
2 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 officialVAUGHAN, MARCIE (PRESIDENT CEO)
| Provider | Location | Paid |
|---|---|---|
| Seneca Health Services INC | Maxwelton, WV | $38.08M |
| Seneca Health Services, INC. | Maxwelton, WV | $14.15M |
| Seneca Health Services, INC. | Summersville, WV | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.