Agency
Seneca Health Services, INC.
Seneca Health Services, INC. was paid $24K by Medicaid between Jul 2018 and Oct 2022, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoSENECA HEALTH SERVICES, INC.
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
33aNPI1407028418assigned 03/31/2008
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$24K
24GClaims1,366
24DCodes billed1
24AFirst – last monthJul 2018 – Oct 2022
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#86 of 93
Median peer was paid$1.97M
This provider vs. median0.0×
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 | 230 | $5K | |
| 2019 | 205 | $3K | |
| 2020 | 517 | $11K | |
| 2021 | 184 | $2K | |
| 2022 | 230 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100% | 1,366 | 1,257 | $24K |
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 officialVAUGHAN, MARCIE (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Seneca Health Services INC | Maxwelton, WV | $38.08M |
| Seneca Health Services, INC. | Maxwelton, WV | $14.15M |
| Seneca Health Services INC | Maxwelton, WV | $2.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.