Agency
Northwood Health Systems INC
Northwood Health Systems INC was paid $52.46M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 57% of everything it billed.
33Billing provider infoNORTHWOOD HEALTH SYSTEMS INC
WHEELING, WV 26003
WHEELING, WV 26003
33aNPI1649277559assigned 07/07/2005
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$52.46M
24GClaims307,749
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#4 of 93
Median peer was paid$1.97M
This provider vs. median27×
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 | 26,184 | $4.75M | |
| 2019 | 17,500 | $3.61M | |
| 2020 | 50,850 | $7.97M | |
| 2021 | 51,447 | $8.34M | |
| 2022 | 58,034 | $11.79M | |
| 2023 | 52,290 | $8.72M | |
| 2024incomplete | 51,444 | $7.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 57% | 49,301 | 8,006 | $30.01M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 16% | 87,429 | 24,713 | $8.21M |
| H0040 | Assertive community treatment program, per diem | 11% | 58,214 | 2,560 | $5.94M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 4.4% | 36,468 | 3,309 | $2.30M |
| 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 | 3.6% | 20,581 | 16,775 | $1.91M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 24,337 | 13,435 | $1.61M |
| H0032 | Mental health service plan development by non-physician | 2.0% | 7,342 | 3,092 | $1.04M |
| H0031 | Mental health assessment, by non-physician | 1.3% | 4,069 | 3,930 | $683K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,073 | 1,837 | $274K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 4,652 | 1,659 | $237K |
| Q3014 | Telehealth originating site facility fee | <1% | 3,410 | 2,244 | $97K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 5,475 | 1,530 | $71K |
7 more codes
| T1017 | Case management, billed per 15 minutes | <1% | 1,805 | $43K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,310 | $33K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $7K |
| 90837 | Psychotherapy session, about an hour | <1% | 145 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 40 | $2K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 39 | $2K |
| 99401 | <1% | 13 | $504.00 |
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 officialGAMES, MARK (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Northwood Health Systems INC | Wheeling, WV | $67.64M |
| 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.