Agency
United Summit Center INC- Rehab
United Summit Center INC- Rehab was paid $32.77M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 49% of everything it billed.
33Billing provider infoUNITED SUMMIT CENTER INC- REHAB
CLARKSBURG, WV 26301
CLARKSBURG, WV 26301
33aNPI1689886558assigned 05/04/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$32.77M
24GClaims311,768
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#9 of 93
Median peer was paid$1.97M
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 | 46,791 | $4.26M | |
| 2019 | 34,054 | $3.82M | |
| 2020 | 59,176 | $5.62M | |
| 2021 | 39,606 | $4.72M | |
| 2022 | 51,276 | $6.15M | |
| 2023 | 43,514 | $4.69M | |
| 2024incomplete | 37,351 | $3.51M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0040 | Assertive community treatment program, per diem | 49% | 187,510 | 6,770 | $16.10M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 15% | 13,602 | 2,284 | $4.79M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 14% | 45,516 | 21,863 | $4.75M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 14% | 22,482 | 1,296 | $4.44M |
| H0031 | Mental health assessment, by non-physician | 4.1% | 8,813 | 7,701 | $1.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 6,839 | 5,920 | $342K |
| 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 | 1.0% | 4,920 | 4,645 | $341K |
| Q3014 | Telehealth originating site facility fee | <1% | 6,588 | 3,790 | $168K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,435 | 1,025 | $121K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 958 | 910 | $106K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | <1% | 8,815 | 3,018 | $85K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 393 | 353 | $35K |
14 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 477 | $30K |
| T1017 | Case management, billed per 15 minutes | <1% | 600 | $26K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 826 | $19K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 157 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 482 | $15K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 312 | $14K |
| H0032 | Mental health service plan development by non-physician | <1% | 169 | $6K |
| 96101 | <1% | 55 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 478 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 191 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 60 | $1K |
| 80305 | <1% | 23 | $265.76 | |
| G9002 | Coordinated care fee, maintenance rate | 0% | 28 | $0.00 |
| 96156 | 0% | 39 | $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 officialPRICE, LISA (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| United Summit Center Inc-Wavier | Clarksburg, WV | $25.60M |
| United Summit Center INC | Clarksburg, WV | $226K |
| Retina Associates, P.C. | Annapolis, MD | $144K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.