Agency
Healthways INC
Healthways INC was paid $3.01M by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 76% of everything it billed.
33Billing provider infoHEALTHWAYS INC
WEIRTON, WV 26062
WEIRTON, WV 26062
33aNPI1255545117assigned 05/10/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$3.01M
24GClaims35,816
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#36 of 93
Median peer was paid$1.97M
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2018 | 13,414 | $406K | |
| 2019 | 5,375 | $731K | |
| 2020 | 4,736 | $720K | |
| 2021 | 1,379 | $188K | |
| 2022 | 3,728 | $313K | |
| 2023 | 5,284 | $520K | |
| 2024incomplete | 1,900 | $131K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 76% | 18,717 | 768 | $2.29M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 17% | 13,203 | 3,553 | $519K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 2,551 | 2,072 | $115K |
| H0031 | Mental health assessment, by non-physician | 1.4% | 341 | 309 | $42K |
| 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% | 843 | 680 | $30K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 66 | 55 | $6K |
| H0032 | Mental health service plan development by non-physician | <1% | 65 | 54 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 30 | 17 | $658.17 |
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 officialGABLE, RON (SYSTEMS ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Healthways INC | Weirton, WV | $40.79M |
| Healthways INC | Weirton, WV | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.