Behavioral
Mountaineer Mental Health, LLC
Mountaineer Mental Health, LLC was paid $2.26M by Medicaid between Mar 2018 and Dec 2024, across 5 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 92% of everything it billed.
33Billing provider infoMOUNTAINEER MENTAL HEALTH, LLC
ROMNEY, WV 26757
ROMNEY, WV 26757
33aNPI1689184467assigned 10/05/2017
33bProvider typeProfessional Counselor
28Total paid$2.26M
24GClaims19,573
24DCodes billed5
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in West Virginia
Rank by total paid#2 of 31
Median peer was paid$132K
This provider vs. median17×
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 | 1,948 | $187K | |
| 2019 | 1,489 | $139K | |
| 2020 | 2,910 | $267K | |
| 2021 | 2,548 | $288K | |
| 2022 | 3,830 | $570K | |
| 2023 | 3,229 | $440K | |
| 2024incomplete | 3,619 | $368K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 92% | 18,307 | 6,568 | $2.08M |
| H0031 | Mental health assessment, by non-physician | 7.1% | 1,048 | 914 | $159K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 177 | 39 | $16K |
| H0032 | Mental health service plan development by non-physician | <1% | 27 | 15 | $756.30 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 14 | 14 | $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 officialFIELDS, HEIDI (DIRECTOR)