Agency
Potomac Highlands Guild
Potomac Highlands Guild was paid $465K by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 97% of everything it billed.
33Billing provider infoPOTOMAC HIGHLANDS GUILD
PETERSBURG, WV 26847
PETERSBURG, WV 26847
33aNPI1275728628assigned 09/10/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$465K
24GClaims8,256
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#65 of 93
Median peer was paid$1.97M
This provider vs. median0.2×
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 | 35 | $1K | |
| 2019 | 93 | $4K | |
| 2020 | 1,090 | $53K | |
| 2021 | 1,858 | $123K | |
| 2022 | 2,359 | $190K | |
| 2023 | 1,523 | $41K | |
| 2024incomplete | 1,298 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 97% | 8,056 | 3,119 | $449K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3.4% | 200 | 85 | $16K |
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 officialRAINES, FREDERICK (PSYCHIATRIST)
| Provider | Location | Paid |
|---|---|---|
| Potomac Highlands Guild | Petersburg, WV | $38.85M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.