Clinic
Appalachian Community Health Center
Appalachian Community Health Center was paid $3.41M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 53% of everything it billed.
33Billing provider infoAPPALACHIAN COMMUNITY HEALTH CENTER
ELKINS, WV 26241
ELKINS, WV 26241
33aNPI1639237837assigned 12/04/2006
28Total paid$3.41M
24GClaims52,273
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in West Virginia
Rank by total paid#8 of 27
Median peer was paid$583K
This provider vs. median5.9×
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 | 1,699 | $142K | |
| 2019 | 2,807 | $184K | |
| 2020 | 8,715 | $532K | |
| 2021 | 12,639 | $658K | |
| 2022 | 11,287 | $885K | |
| 2023 | 8,950 | $606K | |
| 2024incomplete | 6,176 | $403K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 53% | 29,577 | 1,141 | $1.80M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 27% | 9,283 | 5,460 | $920K |
| H0031 | Mental health assessment, by non-physician | 8.5% | 1,766 | 1,596 | $291K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 3,658 | 3,205 | $194K |
| Q3014 | Telehealth originating site facility fee | 3.3% | 3,874 | 2,802 | $111K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1.3% | 996 | 874 | $45K |
| T1002 | Rn services, up to 15 minutes | <1% | 1,689 | 1,265 | $23K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,073 | 675 | $22K |
| 80305 | <1% | 357 | 243 | $4K |
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 officialKILEY, RICHARD (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Appalachian Community Health Center | Elkins, WV | $8.58M |
| Appalachian Community Health Center | Elkins, WV | $326K |
| Appalachian Community Health Center | Elkins, WV | $556.14 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.