Agency
Prestera Center for Mental Health Services INC
Prestera Center for Mental Health Services INC was paid $75.38M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 30% of everything it billed.
33Billing provider infoPRESTERA CENTER FOR MENTAL HEALTH SERVICES INC
BARBOURSVILLE, WV 25504
BARBOURSVILLE, WV 25504
33aNPI1356336903assigned 09/20/2005
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$75.38M
24GClaims878,464
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#3 of 93
Median peer was paid$1.97M
This provider vs. median38×
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 | 131,467 | $8.42M | |
| 2019 | 82,386 | $8.66M | |
| 2020 | 161,896 | $12.57M | |
| 2021 | 139,008 | $11.45M | |
| 2022 | 150,474 | $14.22M | |
| 2023 | 125,100 | $11.67M | |
| 2024incomplete | 88,133 | $8.39M |
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 | 30% | 123,144 | 6,682 | $22.52M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 20% | 177,543 | 70,701 | $15.18M |
| H0040 | Assertive community treatment program, per diem | 20% | 186,611 | 6,663 | $15.10M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 5.7% | 15,587 | 3,018 | $4.30M |
| Q3014 | Telehealth originating site facility fee | 3.8% | 124,573 | 77,325 | $2.90M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 50,109 | 44,979 | $2.68M |
| H0031 | Mental health assessment, by non-physician | 3.4% | 16,574 | 14,649 | $2.55M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 2.9% | 36,217 | 34,002 | $2.22M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 53,093 | 30,848 | $1.76M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.9% | 11,589 | 11,085 | $1.41M |
| 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 | 1.8% | 17,735 | 16,576 | $1.36M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.1% | 2,719 | 1,806 | $852K |
23 more codes
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.0% | 13,966 | $778K |
| H0032 | Mental health service plan development by non-physician | <1% | 7,864 | $639K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 2,182 | $249K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,804 | $182K |
| 90837 | Psychotherapy session, about an hour | <1% | 4,597 | $168K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,573 | $124K |
| T1017 | Case management, billed per 15 minutes | <1% | 2,706 | $92K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 9,427 | $70K |
| 81025 | <1% | 6,030 | $47K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,254 | $45K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 422 | $40K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 971 | $40K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 337 | $21K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 2,158 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,785 | $15K |
| 99205 | Prolong outpt/office vis | <1% | 93 | $8K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 377 | $8K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 134 | $7K |
| T1016 | Case management, each 15 minutes | <1% | 72 | $4K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 53 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 26 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $656.73 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 121 | $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 officialZAPPIA, LISA (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Prestera Center for Mental Health Services, INC | Huntington, WV | $18.73M |
| Prestera Center for Mental Health Services, INC | Huntington, WV | $12.99M |
| Prestera Center for Mental Health Services, INC | Huntington, WV | $67K |
| Prestera Center for Mental Health Services INC | Huntington, WV | $61K |
| Prestera Center for Mental Health Services INC | Huntington, WV | $879.71 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.