Clinic
Shawnee Mental Health Center, INC.
Shawnee Mental Health Center, INC. was paid $14.12M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 39% of everything it billed.
33Billing provider infoSHAWNEE MENTAL HEALTH CENTER, INC.
PORTSMOUTH, OH 45662
PORTSMOUTH, OH 45662
33aNPI1336173236assigned 07/10/2006
33bProvider typeHealth Service Clinic/Center
28Total paid$14.12M
24GClaims231,620
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Ohio
Rank by total paid#1 of 20
Median peer was paid$275K
This provider vs. median51×
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 | 59,650 | $4.44M | |
| 2019 | 47,839 | $2.71M | |
| 2020 | 32,937 | $1.75M | |
| 2021 | 25,260 | $1.37M | |
| 2022 | 21,533 | $1.17M | |
| 2023 | 25,410 | $1.48M | |
| 2024incomplete | 18,991 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 39% | 73,767 | 46,538 | $5.51M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 13% | 6,110 | 6,102 | $1.85M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 12% | 39,346 | 21,803 | $1.66M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 12% | 50,136 | 44,262 | $1.66M |
| 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 | 6.4% | 8,987 | 8,465 | $899K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 14,115 | 13,263 | $745K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.8% | 7,034 | 4,802 | $684K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.2% | 5,793 | 5,455 | $312K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 6,320 | 4,311 | $292K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 963 | 955 | $103K |
| 90785 | <1% | 7,210 | 5,093 | $80K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 492 | 479 | $76K |
34 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,026 | $68K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,457 | $47K |
| 99354 | <1% | 547 | $39K | |
| G0467 | Community health center visit, returning patient | <1% | 572 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 146 | $14K |
| 90839 | <1% | 126 | $13K | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 511 | $11K |
| H2020 | Therapeutic behavioral services, per diem | <1% | 76 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 76 | $10K |
| 99348 | <1% | 320 | $6K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 26 | $2K |
| 99347 | <1% | 16 | $486.41 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 37 | $116.73 |
| 4004F | 0% | 75 | $0.00 | |
| 3077F | 0% | 196 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 135 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 289 | $0.00 |
| 3078F | 0% | 544 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 40 | $0.00 |
| 3045F | 0% | 45 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 421 | $0.00 |
| 3008F | 0% | 1,061 | $0.00 | |
| 3048F | 0% | 14 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 82 | $0.00 |
| 1034F | 0% | 465 | $0.00 | |
| 3044F | 0% | 101 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 177 | $0.00 |
| 4000F | 0% | 342 | $0.00 | |
| 3080F | 0% | 89 | $0.00 | |
| 3075F | 0% | 172 | $0.00 | |
| 3079F | 0% | 374 | $0.00 | |
| 3074F | 0% | 670 | $0.00 | |
| 2001F | 0% | 1,098 | $0.00 | |
| 1110F | 0% | 21 | $0.00 |
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 officialHOLSTEIN, CYNTHIA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Shawnee Mental Health Center, INC. | Portsmouth, OH | $8.14M |
| Shawnee Mental Health Center, INC. | Coal Grove, OH | $3.35M |
| Shawnee Mental Health Center, INC. | West Union, OH | $2.31M |
| Shawnee Mental Health Center, INC | Portsmouth, OH | $165K |
| Shawnee Mental Health Center INC | Portsmouth, OH | $36K |
| Shawnee Mental Health Center INC | West Union, OH | $26K |
| Shawnee Mental Health Center, INC. | Portsmouth, OH | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.