Medicaid Provider Spending

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

SHAWNEE MENTAL HEALTH CENTER, INC.

NPI: 1336173236 · PORTSMOUTH, OH 45662 · Health Service Clinic/Center · NPI assigned 07/10/2006

$14.12M
Total Medicaid Paid
231,620
Total Claims
172,038
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOLSTEIN, CYNTHIA (CEO)
NPI Enumeration Date07/10/2006

Related Entities

Other providers sharing the same authorized official: HOLSTEIN, CYNTHIA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 18,991 $1.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 73,767 46,538 $5.51M
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 6,110 6,102 $1.85M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 39,346 21,803 $1.66M
H2017 Psychosocial rehabilitation services, per 15 minutes 50,136 44,262 $1.66M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,987 8,465 $899K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,115 13,263 $745K
90837 Psychotherapy, 53 minutes with patient 7,034 4,802 $684K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 5,793 5,455 $312K
90832 Psychotherapy, 30 minutes with patient 6,320 4,311 $292K
90791 Psychiatric diagnostic evaluation 963 955 $103K
90785 7,210 5,093 $80K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 492 479 $76K
90834 Psychotherapy, 45 minutes with patient 1,026 891 $68K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,457 1,280 $47K
99354 547 379 $39K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 572 511 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 146 141 $14K
90839 126 118 $13K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 511 495 $11K
H2020 Therapeutic behavioral services, per diem 76 25 $11K
99215 Prolong outpt/office vis 76 70 $10K
99348 320 298 $6K
90847 Family psychotherapy with the patient present, 50 minutes 26 17 $2K
99347 16 15 $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 37 31 $116.73
4004F 75 74 $0.00
3077F 196 192 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 135 133 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 289 283 $0.00
3078F 544 536 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 40 39 $0.00
3045F 45 43 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 421 406 $0.00
3008F 1,061 1,038 $0.00
3048F 14 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 82 80 $0.00
1034F 465 446 $0.00
3044F 101 100 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 177 174 $0.00
4000F 342 329 $0.00
3080F 89 85 $0.00
3075F 172 171 $0.00
3079F 374 363 $0.00
3074F 670 648 $0.00
2001F 1,098 1,072 $0.00
1110F 21 14 $0.00