NP / PA
Winchester Community Mental Health Center, INC.
Winchester Community Mental Health Center, INC. was paid $8.19M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 35% of everything it billed.
33Billing provider infoWINCHESTER COMMUNITY MENTAL HEALTH CENTER, INC.
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1457593188assigned 03/26/2009
33bProvider typeNurse Practitioner
28Total paid$8.19M
24GClaims119,511
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Virginia
Rank by total paid#2 of 60
Median peer was paid$7K
This provider vs. median1,190×
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 | 28,310 | $1.36M | |
| 2019 | 17,311 | $988K | |
| 2020 | 23,905 | $1.63M | |
| 2021 | 16,494 | $1.47M | |
| 2022 | 11,285 | $1.04M | |
| 2023 | 12,852 | $1.02M | |
| 2024incomplete | 9,354 | $679K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 35% | 27,294 | 13,728 | $2.86M |
| 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 | 14% | 16,737 | 14,884 | $1.14M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 12% | 16,959 | 2,934 | $971K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 13,107 | 9,877 | $614K |
| H0006 | Alcohol and/or drug services; case management | 5.1% | 1,855 | 1,719 | $416K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.7% | 8,457 | 4,740 | $385K |
| H2012 | Behavioral health day treatment, per hour | 4.5% | 3,488 | 460 | $371K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 3.7% | 6,098 | 5,468 | $301K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3.4% | 3,059 | 1,441 | $281K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.0% | 1,200 | 1,148 | $162K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.9% | 1,365 | 1,309 | $157K |
| 80306 | 1.8% | 9,208 | 4,864 | $144K |
18 more codes
| S9480 | Intensive outpatient psychiatric services, per diem | 1.4% | 767 | $111K |
| 80305 | <1% | 5,154 | $55K | |
| S0201 | Partial hospitalization services, less than 24 hours, per diem | <1% | 73 | $37K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutes | <1% | 162 | $21K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,279 | $21K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 252 | $20K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 78 | $18K |
| 99051 | <1% | 1,578 | $18K | |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | <1% | 97 | $18K |
| Q3014 | Telehealth originating site facility fee | <1% | 694 | $15K |
| H0031 | Mental health assessment, by non-physician | <1% | 109 | $15K |
| 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% | 53 | $13K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 125 | $6K |
| H0046 | Mental health services, not otherwise specified | <1% | 70 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 42 | $4K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 66 | $4K |
| H0049 | Alcohol and/or drug screening | <1% | 13 | $60.00 |
| 99072 | 0% | 72 | $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 officialPUIG, EVELYN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Winchester Community Mental Health Center, INC. | Inwood, WV | $3.39M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.