Agency
Northwood Health Systems INC
Northwood Health Systems INC was paid $67.64M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 64% of everything it billed.
33Billing provider infoNORTHWOOD HEALTH SYSTEMS INC
WHEELING, WV 26003
WHEELING, WV 26003
33aNPI1417173444assigned 04/18/2007
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$67.64M
24GClaims585,086
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in West Virginia
Rank by total paid#1 of 19
Median peer was paid$2.18M
This provider vs. median31×
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 | 76,916 | $7.66M | |
| 2019 | 82,569 | $8.06M | |
| 2020 | 82,156 | $9.39M | |
| 2021 | 85,486 | $10.62M | |
| 2022 | 91,299 | $11.83M | |
| 2023 | 89,627 | $11.44M | |
| 2024incomplete | 77,033 | $8.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 64% | 332,200 | 8,019 | $43.58M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 23% | 113,348 | 10,841 | $15.76M |
| T1005 | Respite care services, up to 15 minutes | 4.1% | 44,662 | 3,301 | $2.78M |
| G9002 | Coordinated care fee, maintenance rate | 2.9% | 9,024 | 8,984 | $1.94M |
| T1016 | Case management, each 15 minutes | 2.1% | 6,269 | 5,982 | $1.45M |
| T1002 | Rn services, up to 15 minutes | 1.3% | 3,799 | 3,447 | $877K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 48,248 | 5,943 | $555K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 21,216 | 1,858 | $332K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 3,732 | 2,918 | $225K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 2,497 | 2,445 | $119K |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes | <1% | 91 | 47 | $12K |
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 officialGAMES, MARK (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Northwood Health Systems INC | Wheeling, WV | $52.46M |
| Mid Valley Healthcare INC | New Martinsville, WV | $2.31M |
| Mid Valley Healthcare INC | New Martinsville, WV | $1.98M |
| Northwood Health Systems INC | Wheeling, WV | $404K |
| Mid Valley Healthcare INC | New Martinsville, WV | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.