Behavioral
Highlands Hospital and Health Center
Highlands Hospital and Health Center was paid $328K by Medicaid between Oct 2020 and Apr 2024, across 9 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 55% of everything it billed.
33Billing provider infoHIGHLANDS HOSPITAL AND HEALTH CENTER
CONNELLSVILLE, PA 15425
CONNELLSVILLE, PA 15425
33aNPI1447443957assigned 08/20/2007
33bProvider typeProfessional Counselor
28Total paid$328K
24GClaims8,907
24DCodes billed9
24AFirst – last monthOct 2020 – Apr 2024
Compared with peers
Next to other Professional Counselor providers in Pennsylvania
Rank by total paid#43 of 414
Median peer was paid$61K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2020 | 581 | $24K | |
| 2021 | 2,840 | $120K | |
| 2022 | 2,638 | $111K | |
| 2023 | 2,390 | $68K | |
| 2024incomplete | 458 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 55% | 4,515 | 1,074 | $180K |
| 99222 | Initial hospital care, per day, moderate complexity | 20% | 1,124 | 1,060 | $64K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 2,188 | 650 | $51K |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.8% | 379 | 364 | $16K |
| 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 | 3.0% | 290 | 272 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 126 | 115 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 59 | 47 | $3K |
| 1101F | 0% | 75 | 66 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 151 | 135 | $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 officialANDURSKY, JOHN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Highlands Hospital and Health Center | Connellsville, PA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.