Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SENECA HEALTH SERVICES INC

NPI: 1245441609 · MAXWELTON, WV 24957 · Community/Behavioral Health Agency · NPI assigned 05/25/2007

$2.76M
Total Medicaid Paid
34,763
Total Claims
27,718
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVAUGHAN, MARCIE (PRESIDENT CEO)
NPI Enumeration Date05/25/2007

Related Entities

Other providers sharing the same authorized official: VAUGHAN, MARCIE

ProviderCityStateTotal Paid
SENECA HEALTH SERVICES INC MAXWELTON WV $38.08M
SENECA HEALTH SERVICES, INC. MAXWELTON WV $14.15M
SENECA HEALTH SERVICES, INC. SUMMERSVILLE WV $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,365 $1.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1040 Medicaid certified community behavioral health clinic services, per diem 3,472 2,646 $1.01M
H0031 Mental health assessment, by non-physician 4,384 4,292 $605K
H0004 Behavioral health counseling and therapy, per 15 minutes 9,674 5,837 $506K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,903 13,446 $375K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 663 121 $212K
99215 Prolong outpt/office vis 319 308 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 278 268 $14K
H0038 Self-help/peer services, per 15 minutes 155 45 $5K
Q3014 Telehealth originating site facility fee 131 121 $3K
90834 Psychotherapy, 45 minutes with patient 175 146 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 61 59 $2K
80305 400 294 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 105 94 $493.33
H0032 Mental health service plan development by non-physician 43 41 $0.00